Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | MD433470 | PA |
NPI | 1063458289 |
---|---|
Provider Name | William D Hardin JR. |
First Address | Allentown, PA 18105-1754 |
Second Address | Allentown, PA 18103-6372 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 29/01/2008 |