Doctor Name: | MR. MARC TODD HARRIS |
NPI Number: | 1225263346 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 332BC3200X |
Business Practice Address: | 348 Chanticleer Cherry Hill, NJ - 08003 |
Business Phone Number: | 8567518460 |
Business Fax Number: | 6094828098 |
Mailing Address: | 348 Chanticleer, CHERRY HILL |
State: | NJ |
Postal Code: | 080034826 |
Phone Number: | 8567518460 |
Fax Number: | 6094828098 |
NPI Enumeration Date: | 05/19/2009 |
NPI Last Update Date: | 05/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 332BC3200X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |