Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RN0300X | Nephrologist | 25MA05544600 | NJ |
Y | 207RN0300X | Nephrologist | MD037059E | PA |
NPI | 1023094364 |
---|---|
Provider Name | Drew Stone Harrison |
First Address | Allentown, PA 18103-6212 |
Second Address | Allentown, PA 18103-6367 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2005 |
Last Update Date | 25/10/2020 |