Provider Demographics
NPI:1861710964
Name:HARES, HORACIO DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:HORACIO
Middle Name:DAVID
Last Name:HARES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8500-8735
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-0001
Mailing Address - Country:US
Mailing Address - Phone:215-456-4695
Mailing Address - Fax:
Practice Address - Street 1:5501 OLD YORK RD - PALEY BUILDING 1ST FLOOR
Practice Address - Street 2:EINSTEIN INTERNAL MEDICINE ASSOCIATE COMMUNITY PRACTICE
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3018
Practice Address - Country:US
Practice Address - Phone:215-456-6500
Practice Address - Fax:215-456-7443
Is Sole Proprietor?:No
Enumeration Date:2010-05-13
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD448036207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine