Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | OS014426 | PA |
N | 208600000X | Surgeon | OS014426 | PA |
Y | 2086S0102X | Surgical Critical Care | OS014426 | PA |
NPI | 1154648376 |
---|---|
Provider Name | Dr. Timothy John Harrison |
First Address | Philadelphia, PA 19178-3311 |
Second Address | Allentown, PA 18103-6369 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2010 |
Last Update Date | 10/08/2016 |