Provider Demographics
NPI:1639474356
Name:ROBERT HARF ORTHOPAEDICS A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:ROBERT HARF ORTHOPAEDICS A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & MANAGING PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:HARF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:707-996-8017
Mailing Address - Street 1:181 ANDRIEUX ST
Mailing Address - Street 2:SUITE 111
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-6932
Mailing Address - Country:US
Mailing Address - Phone:707-996-8017
Mailing Address - Fax:707-996-8061
Practice Address - Street 1:181 ANDRIEUX ST
Practice Address - Street 2:SUITE 111
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-6932
Practice Address - Country:US
Practice Address - Phone:707-996-8017
Practice Address - Fax:707-996-8061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA40626207X00000X, 207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A406260Medicare PIN