Provider Demographics
NPI:1427030832
Name:HART, ROBERT R (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:R
Last Name:HART
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3700 JOSEPH SIEWICK DR STE 101
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-1737
Mailing Address - Country:US
Mailing Address - Phone:703-698-1856
Mailing Address - Fax:703-207-0843
Practice Address - Street 1:3700 JOSEPH SIEWICK DR STE 101
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-1737
Practice Address - Country:US
Practice Address - Phone:703-698-1856
Practice Address - Fax:703-207-0843
Is Sole Proprietor?:No
Enumeration Date:2005-11-19
Last Update Date:2022-06-01
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Provider Licenses
StateLicense IDTaxonomies
VA0101042534208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010273374Medicaid
VAF34246Medicare UPIN
VA010273374Medicaid