Provider Demographics
NPI:1821212226
Name:HARGADON, MARTIN J JR (RN)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:J
Last Name:HARGADON
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 E ROLAND RD
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:PA
Mailing Address - Zip Code:19015-3327
Mailing Address - Country:US
Mailing Address - Phone:610-872-2277
Mailing Address - Fax:
Practice Address - Street 1:GENERAL HEALTHCARE RESOURCES
Practice Address - Street 2:2250 HICKORY ROAD, SUITE 240
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462
Practice Address - Country:US
Practice Address - Phone:610-834-1122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN553951163WC0200X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
Not Answered251J00000XAgenciesNursing Care