Provider Demographics
NPI:1528094885
Name:HARDER, RALPH V (MD)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:V
Last Name:HARDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1638
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12201-1638
Mailing Address - Country:US
Mailing Address - Phone:207-777-4111
Mailing Address - Fax:207-783-6660
Practice Address - Street 1:15 GRACELAWN RD
Practice Address - Street 2:SUITE 203
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-6334
Practice Address - Country:US
Practice Address - Phone:207-330-3930
Practice Address - Fax:207-753-3093
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2011-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME012044207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME5508240OtherAETNA NON HMO
ME1041758OtherAETNA HMO
ME2408OtherANTHEM
ME5508240OtherAETNA NON HMO
MEC66188Medicare UPIN