Doctor Name: | JAMES ROBERT HARDENSTINE |
NPI Number: | 1578608956 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 04187309 |
Business Practice Address: | 55 Stoakley Rd 2nd Floor Prince Frederick, MD - 206783859 |
Business Phone Number: | 4104143000 |
Business Fax Number: | |
Mailing Address: | Po Box 3541, PRINCE FREDERICK |
State: | MD |
Postal Code: | 206782551 |
Phone Number: | 4104143000 |
Fax Number: | 4104143000 |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 04187309 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |