Provider Demographics
NPI:1205859527
Name:HARDING, ROBERT A (MS, RD, LDN)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:HARDING
Suffix:
Gender:M
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 196
Mailing Address - Street 2:
Mailing Address - City:BOBTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15315-0196
Mailing Address - Country:US
Mailing Address - Phone:724-839-7240
Mailing Address - Fax:724-839-7240
Practice Address - Street 1:3900 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4551
Practice Address - Country:US
Practice Address - Phone:215-823-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered