Basic Information
| Provider Information | |||||||||
| NPI: | 1821084724 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HARFORD | ||||||||
| FirstName: | RHONDEY | ||||||||
| MiddleName: | IAN O'BRIEN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4518 UNION DEPOSIT RD | ||||||||
| Address2: | |||||||||
| City: | HARRISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 171112921 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7176525840 | ||||||||
| FaxNumber: | 7176528152 | ||||||||
| Practice Location | |||||||||
| Address1: | 4518 UNION DEPOSIT RD | ||||||||
| Address2: | |||||||||
| City: | HARRISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 171112921 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7176525840 | ||||||||
| FaxNumber: | 7176528152 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/26/2005 | ||||||||
| LastUpdateDate: | 10/20/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | MD073812L | PA | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
ID Information
| ID | Type | State | Issuer | Description | 001841610 | 05 | PA | MEDICAID | P00757174 | 01 | PA | RAILROAD MEDICARE | OTHER |