Provider Demographics
NPI:1194199455
Name:HART, DELROY P
Entity Type:Individual
Prefix:MR
First Name:DELROY
Middle Name:P
Last Name:HART
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9363-4AA-11B ESTATE THOMAS
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802
Mailing Address - Country:US
Mailing Address - Phone:340-513-3840
Mailing Address - Fax:
Practice Address - Street 1:9363-4AA-11B ESTATE THOMAS
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VIRGIN ISLANDS (VI)
Practice Address - Zip Code:00802
Practice Address - Country:UM
Practice Address - Phone:340-513-3840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-23
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport