Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD015556E | PA |
Y | 111NI0900X | Internist | MD015556E | PA |
N | 207RG0300X | Geriatric Medicine | MD015556E | PA |
N | 207U00000X | Nuclear Medicine Specialist | MD015556E | PA |
NPI | 1538466073 |
---|---|
Provider Name | Dr. Douglas P Harr |
First Address | Quakertown, PA 18951-3904 |
Second Address | Quakertown, PA 18951-3904 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2011 |
Last Update Date | 18/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7088093 | (05) | PA |
C29216 | (02) |