| Doctor Name: | DR. MARK JAN HARRISON |
| NPI Number: | 1134135098 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | D0064056 |
| Business Practice Address: | 13536 Travilah Rd North Potomac, MD - 208783847 |
| Business Phone Number: | 3019776784 |
| Business Fax Number: | |
| Mailing Address: | 13536 Travilah Rd, NORTH POTOMAC |
| State: | MD |
| Postal Code: | 208783847 |
| Phone Number: | 3019776784 |
| Fax Number: | |
| NPI Enumeration Date: | 07/31/2006 |
| NPI Last Update Date: | 11/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | D0064056 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |