Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 25MA07315600 | NJ |
NPI | 1548331952 |
---|---|
Provider Name | Dr. Heather Withington Harnly |
First Address | East Brunswick, NJ 08816-4092 |
Second Address | East Brunswick, NJ 08816-4092 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2006 |
Last Update Date | 23/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0347639 | (05) | NJ |