Provider Demographics
NPI:1831776624
Name:HARDY, JOHN CONNOR (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:CONNOR
Last Name:HARDY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8901 ROCKVILLE PIKE PULMONARY DEPT BUILDING 9 FLOOR 1
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0001
Mailing Address - Country:US
Mailing Address - Phone:301-295-4191
Mailing Address - Fax:301-319-8751
Practice Address - Street 1:8901 ROCKVILLE PIKE PULMONARY DEPT BUILDING 9 FLOOR 1
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-4191
Practice Address - Fax:301-319-8751
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-26
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101277684208D00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice