Hardt, Susan W
Hardt, Susan W is an individual health care provider with primary practice located at 1493 Cambridge St Primary Care Center, Cambridge MA 02139-1047. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Hardt, Susan W can be contacted via phone (617) 665-1068.Contact Information
Primary practice address
1493 Cambridge St Primary Care Center
Cambridge MA 02139-1047
Phone: (617) 665-1068
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 56517 | Massachusetts |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 56517 | Massachusetts |
Profile Details
| NPI number | 1265507412 |
|---|---|
| LBN Legal business name | Hardt, Susan W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Dec 5th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265507412 | NPPES |
| Massachusetts | MEDICAID | 3020924 | |
| Massachusetts | Other | J06459 |
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