Individual
DR. EDMUND D HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2380
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA10650000
NJ
2085R0202X
Diagnostic Radiology Physician
64275
CT
2085R0202X
Diagnostic Radiology Physician
H6836
TX
208D00000X
General Practice Physician
H6836
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136593412
—
TX
Enumeration date
01/27/2006
Last updated
06/22/2023
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