Individual provider · NPI-1
Christopher B Hart, M.S., M.Ed.,PA-C,ATC
Physician Assistant, Surgical · Marlton, NJ
NPI number1346352069
StatusActive
Last updated in NPPESJul 26, 2022
Details
- NPI
- 1346352069
- Entity type
- Individual (NPI-1)
- Name
- Christopher B Hart
- Credential
- M.S., M.Ed.,PA-C,ATC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2006
- Certification date
- Jul 26, 2022
- Last updated
- Jul 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 25MP00340600 | NJ | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 96002342 | IL | |
| 363AS0400X | Physician Assistant, Surgical | – | – |
Practice location
999 Route 73 NMarlton, NJ 08053-1227
Phone 800-321-9999 · Fax 267-339-2558
Mailing address
833 Chestnut St Ste 520Philadelphia, PA 19107-4430
Phone 800-321-9999
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