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Individual

BASIL M HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3369 STATE ROUTE 100, MACUNGIE, PA 18062-9613
(610) 402-8111
Mailing address
PO BOX 3012, WILMINGTON, DE 19804
(800) 456-4629
(302) 224-2848

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD424860
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013262340001
PA
Enumeration date
02/08/2006
Last updated
05/10/2024
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