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Individual

JUSTIN D HARMON

Active
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Individual

JUSTIN D HARMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MB08004900
NJ
208800000X
Urology Physician
MB08004900
NJ
208800000X
Urology Physician
Primary
OS012038
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001828368
HIGHMARK BLUE SHIELD
PA
01
0019376680007
UNITED
PA
01
1220864
CIGNA PA
PA
01
2132766000
KEYSTONE IBC
PA
01
30153723
KEYSTONE FIRST
PA
01
7881786
AETNA
PA
01
P01327722
RAILROAD MEDICARE
PA
Enumeration date
09/23/2006
Last updated
05/20/2021
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