| Rochelle S. Hardy, M.d., P.c. | |
|
7404 Executive Pl Suite 502 Lanham MD 20706-6238 | |
| (301) 249-2700 | |
| (301) 249-4559 |
| Full Name | Rochelle S. Hardy, M.d., P.c. |
|---|---|
| Speciality | General Practice |
| Location | 7404 Executive Pl, Lanham, Maryland |
| Authorized Official Name and Position | Rochelle S. Hardy (PRESIDENT/OWNER) |
| Authorized Official Contact | 3012492700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rochelle S. Hardy, M.d., P.c. 7404 Executive Pl Suite 502 Lanham MD 20706-6238 Ph: (301) 249-2700 | Rochelle S. Hardy, M.d., P.c. 7404 Executive Pl Suite 502 Lanham MD 20706-6238 Ph: (301) 249-2700 |
| NPI Number | 1598055568 |
|---|---|
| Provider Enumeration Date | 04/12/2011 |
| Last Update Date | 04/12/2011 |
| Medicare PECOS PAC ID | 7719161751 |
|---|---|
| Medicare Enrollment ID | O20110415000126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598055568 | NPI | - | NPPES |
| 549391900 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | D0037391 (Maryland) | Primary |
| Provider Name | Rochelle Sargeant-hardy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548203722 PECOS PAC ID: 2961686902 Enrollment ID: I20110415000183 |
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