Jeffrey Glen Hart is a Medical in Fort Drum, New York. Jeffrey Glen Hart practices all healthcare services and medical treatments related to Medical. The NPI Number for Jeffrey Glen Hart is 1396728846. The last update date is 2007-07-08.
Jeffrey Glen Hart's current location address is 11050 Mount Belvedere Blvd, Fort Drum, New York. You can contact this provider via phone number 3157724025 and fax number 3157729498. The mailing address for Jeffrey Glen Hart is 11050 Mount Belvedere Blvd, Fort Drum, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Glen Hart |
|---|---|
| Address | 11050 Mount Belvedere Blvd, Fort Drum, New York |
| Phone Number | 3157724025 |
| Fax Number | 3157729498 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1396728846 |
|---|---|
| Provider Enumeration Date | 2005-11-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11050 Mount Belvedere Blvd |
|---|---|
| City | Fort Drum |
| State | New York (NY) |
| Post Code | 136025438 |
| Phone Number | 3157724025 |
| Fax Number | 3157729498 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 50-000688 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jeffrey Glen Hart?
The Jeffrey Glen Hart has been issued the NPI (National Provider Identifier) 1396728846 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jeffrey Glen Hart's facilities are geographically located?
The facilities of Jeffrey Glen Hart are physically situated at the following location: 11050 Mount Belvedere Blvd, Fort Drum, NY, 136025438.
What is the Jeffrey Glen Hart's specialty and taxonomy code?
The Jeffrey Glen Hart's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396728846 to Jeffrey Glen Hart?
The Centers for Medicare & Medicaid Services originally issued the 1396728846 to Jeffrey Glen Hart on 2005-11-29.
As of what date was the information regarding Jeffrey Glen Hart, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeffrey Glen Hart, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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