Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | MD002399 | NJ |
Y | 222Z00000X | Podiatrist | MD002399 | NJ |
NPI | 1053346551 |
---|---|
Provider Name | Dr. Garfield Harford |
First Address | East Orange, NJ 07018 |
Second Address | East Orange, NJ 07017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0055697 | (05) | NJ |
U70154 | (02) |