Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | C0008296 | MD |
NPI | 1780335026 |
---|---|
Provider Name | Jeffrey Harloe |
First Address | Bel Air, MD 21015-5901 |
Second Address | Bel Air, MD 21015-5901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2022 |
Last Update Date | 18/01/2022 |