Doctor Name: | DR. ZACHARY HART |
NPI Number: | 1053670745 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | 2173290 |
Business Practice Address: | 1308 Morris Ave Suite 104 Union, NJ - 070833331 |
Business Phone Number: | 9086885577 |
Business Fax Number: | 9086882755 |
Mailing Address: | 1308 Morris Ave, Suite 104 UNION |
State: | NJ |
Postal Code: | 070833331 |
Phone Number: | 9086885577 |
Fax Number: | 9086882755 |
NPI Enumeration Date: | 05/15/2012 |
NPI Last Update Date: | 05/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 2173290 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |