Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | MA72306 | NJ |
NPI | 1639279326 |
---|---|
Provider Name | Elliot M Harris |
First Address | Camden, NJ 08103-1438 |
Second Address | Camden, NJ 08103-1461 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2006 |
Last Update Date | 30/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010006263 00 | AMERICHOICE (01) | NJ |
0537880 | CIGNA (01) | NJ |
1295147 | UNITED HEALTH PLAN (01) | NJ |
1602630 | AMERIHEALTH PPO/PA BS (01) | NJ |
2281166000 | AMERIHEALTH/KEYSTONE/IBC (01) | NJ |
30868 | UNIVERISTY HEALTH PLAN (01) | NJ |
3500962 | AETNA (01) | NJ |
60005776 | HORIZON NJ HEALTH (01) | NJ |
8542601 | (05) | NJ |
F49011 | (02) | |
P3385893 | OXFORD (01) | NJ |