Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0101268673 | VA |
N | 207X00000X | Orthopaedic Surgeon | D88907 | MD |
N | 207X00000X | Orthopaedic Surgeon | MD048046 | DC |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 0101268673 | VA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | D88907 | MD |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD048046 | DC |
NPI | 1144630161 |
---|---|
Provider Name | Matthew Alexander Harb |
First Address | Washington, DC 20036-5217 |
Second Address | Washington, DC 20036-5217 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2014 |
Last Update Date | 30/07/2020 |