Provider Demographics
NPI:1679548051
Name:HARDT, ANTHONY B (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:B
Last Name:HARDT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1024 FIRST COLONIAL RD
Mailing Address - Street 2:STE 102
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454
Mailing Address - Country:US
Mailing Address - Phone:757-321-4070
Mailing Address - Fax:757-496-7956
Practice Address - Street 1:1024 FIRST COLONIAL RD
Practice Address - Street 2:STE 102
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454
Practice Address - Country:US
Practice Address - Phone:757-321-4070
Practice Address - Fax:757-496-7956
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101038313207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B62846Medicare UPIN