Provider Demographics
NPI:1801818323
Name:HART, RICHARD J JR (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:J
Last Name:HART
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6400 ARLINGTON BLVD
Mailing Address - Street 2:STE 930
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-2336
Mailing Address - Country:US
Mailing Address - Phone:703-532-4124
Mailing Address - Fax:703-532-3253
Practice Address - Street 1:6400 ARLINGTON BLVD
Practice Address - Street 2:STE 930
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-2336
Practice Address - Country:US
Practice Address - Phone:703-532-4124
Practice Address - Fax:703-532-3253
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2016-05-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101023908174400000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC157853Medicare ID - Type UnspecifiedCARDIOLOGY
DC157853Medicare ID - Type UnspecifiedINTERNAL MEDICINE