Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 57013974 | OH |
N | 207YS0123X | Facial Plastic Surgeon | 35.098399 | OH |
Y | 207YS0123X | Facial Plastic Surgeon | 45269 | KY |
N | 207YS0123X | Facial Plastic Surgeon | 51087 | CO |
NPI | 1568651990 |
---|---|
Provider Name | Dr. Brian Mathew Harmych |
First Address | Edgewood, OH 41017 |
Second Address | Edgewood, OH 41017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2007 |
Last Update Date | 01/08/2012 |