Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 25MA04782400 | NJ |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 25MA04782400 | NJ |
NPI | 1144225079 |
---|---|
Provider Name | David A Harwood |
First Address | Somerset, NJ 08873-1369 |
Second Address | Somerset, NJ 08873-1369 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2005 |
Last Update Date | 15/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E55124 | (02) | NJ |
MA47824 | LICENSE (01) | NJ |