Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 2173290 | RI |
NPI | 1053670745 |
---|---|
Provider Name | Dr. Zachary Hart |
First Address | Union, NJ 07083-3331 |
Second Address | Union, NJ 07083-3331 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2012 |
Last Update Date | 05/05/2015 |