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Individual

JOSEPH A HARASIMOWICZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5655 HUDSON DR STE 210, ARIS RADIOLOGY, HUDSON, OH 44236-4455
(330) 655-1869
(330) 655-3828
Mailing address
5655 HUDSON DR STE 210, ARIS RADIOLOGY, HUDSON, OH 44236-4455
(330) 655-1869
(330) 655-3828

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01055947A
IN
2085R0202X
Diagnostic Radiology Physician
041575
GA
2085R0202X
Diagnostic Radiology Physician
Primary
ME0054418
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000701225C
GA
05
009974705
AL
01
336573
WELLCARE
GA
01
52506963002
BCBS OF GEORGIA
GA
01
60034229
BCBS OF ALABAMA
AL
01
P00186687
RR MEDICARE
GA
01
SSN
CHAMPUS TRICARE
GA
Enumeration date
01/03/2006
Last updated
11/09/2016
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