Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 281243 | NY |
Y | 2080P0201X | Pediatric Allergist | C7-0006152 | DE |
N | 2080P0201X | Pediatric Allergist | MT211280 | PA |
NPI | 1497156061 |
---|---|
Provider Name | Dr. Gretchen Harmon |
First Address | Wilmington, DE 19803-3607 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2014 |
Last Update Date | 22/08/2016 |