Provider Demographics
NPI:1447045422
Name:HARDY, MARCUS ANTONIO
Entity type:Individual
Prefix:
First Name:MARCUS
Middle Name:ANTONIO
Last Name:HARDY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10821 RED RUN BLVD UNIT 1044
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-8550
Mailing Address - Country:US
Mailing Address - Phone:410-443-5077
Mailing Address - Fax:
Practice Address - Street 1:10821 RED RUN BLVD UNIT 1044
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-8550
Practice Address - Country:US
Practice Address - Phone:410-443-5077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)