Provider Demographics
NPI:1609076876
Name:HARGROVE, CLAUDIA LIANE (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:LIANE
Last Name:HARGROVE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:955 E HAVERFORD ROAD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010
Mailing Address - Country:US
Mailing Address - Phone:610-525-2990
Mailing Address - Fax:610-525-2099
Practice Address - Street 1:600 HAVERFORD RD
Practice Address - Street 2:
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19041-1139
Practice Address - Country:US
Practice Address - Phone:610-525-2990
Practice Address - Fax:610-525-2099
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2021-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD 430289207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA120677Medicare PIN
PA120677EGWMedicare PIN