Basic Information
| Provider Information | |||||||||
| NPI: | 1548381312 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | H. C. HARDE MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6805 ROUTE 9 STE 31 | ||||||||
| Address2: | |||||||||
| City: | RHINEBECK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 125721160 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8458763868 | ||||||||
| FaxNumber: | 8458763756 | ||||||||
| Practice Location | |||||||||
| Address1: | 946 COLUMBIA ST | ||||||||
| Address2: | |||||||||
| City: | HUDSON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 125342626 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5188284125 | ||||||||
| FaxNumber: | 5188284842 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/02/2007 | ||||||||
| LastUpdateDate: | 07/17/2007 | ||||||||
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| AuthorizedOfficialLastName: | HARDE | ||||||||
| AuthorizedOfficialFirstName: | H | ||||||||
| AuthorizedOfficialMiddleName: | C | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5188284125 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080A0000X | 132249 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pediatrics | Adolescent Medicine |
No ID Information.