Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208G00000X | Cardiothoracic Vascular Surgeon | C1-0009412 | DE |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD420060 | PA |
NPI | 1144365453 |
---|---|
Provider Name | Dr. Harsh Jain |
First Address | Hershey, PA 17033-0858 |
Second Address | Hershey, PA 17033-2360 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 23/08/2013 |