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Organization

HARRIS D SLAVICK MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HARRIS D SLAVICK MD (PRESIDENT)
(856) 691-2225
Entity
Organization

Contact information

Practice address
1317 S MAIN RD STE 2A, VINELAND, NJ 08360-6511
(856) 691-2225
(856) 696-6992
Mailing address
1317 S MAIN RD STE 2A, VINELAND, NJ 08360-6511
(856) 691-2225
(856) 696-6992

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MA28690
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2825708
NJ
Enumeration date
12/10/2010
Last updated
10/03/2011
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