Individual provider · Type 1 NPI

Jeffrey Glen Hart, PA-C

Medical Physician Assistant · Fort Drum, NY

NPI number 1396728846 Active

Practice location

11050 Mount Belvedere Blvd, Usa Meddac/credentials
Fort Drum, NY 13602-5438

Fax (315) 772-9498

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X50-000688 (OH)

Medical Physician Assistant: Definition to come...

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About NPI 1396728846

Jeffrey Glen Hart, PA-C's National Provider Identifier is 1396728846, issued on Nov 29, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Drum, NY. The record was last updated on Jul 8, 2007.