Doctor Name: | MR. BRIAN P. HARRITY |
NPI Number: | 1578544466 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHYSICIAN ASSISTANT |
License Number: | 1053570 |
Business Practice Address: | Building 11-59, Ftig Annville, PA - 17003 |
Business Phone Number: | 7178619409 |
Business Fax Number: | 7178612655 |
Mailing Address: | Building 11-59, Ftig, ANNVILLE |
State: | PA |
Postal Code: | 17003 |
Phone Number: | 7178619409 |
Fax Number: | 7178612655 |
NPI Enumeration Date: | 11/08/2005 |
NPI Last Update Date: | 07/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1053570 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |