Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0117X | Orthopaedic Spine Surgeon | 256659 | NY |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 25MA09768100 | NJ |
NPI | 1194979435 |
---|---|
Provider Name | Dr. Colin B Harris |
First Address | Wayne, NJ 07470-7520 |
Second Address | Wayne, NJ 07470-7520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2008 |
Last Update Date | 10/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03231578 | (05) | NY |