Provider Demographics
NPI:1205896545
Name:HARDING, ROBERT J (PA)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:J
Last Name:HARDING
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Gender:M
Credentials:PA
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Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:FREDERICKSBURG COMMUNITY HEALTH CENTER PC
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17026-0009
Mailing Address - Country:US
Mailing Address - Phone:717-865-6644
Mailing Address - Fax:717-865-7321
Practice Address - Street 1:120 S.TAN STREET, SUITE 1
Practice Address - Street 2:FREDERICKSBURG COMMUNITY HEALTH CENTER PC
Practice Address - City:FREDERICKSBURG
Practice Address - State:PA
Practice Address - Zip Code:17026-0009
Practice Address - Country:US
Practice Address - Phone:717-865-6644
Practice Address - Fax:717-865-7321
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2016-06-30
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Provider Licenses
StateLicense IDTaxonomies
PAMA000933L363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
S34950Medicare UPIN
PA699215HE2Medicare PIN