Individual
DR. HARRIS DAVID SLAVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MA28690
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00071888000
AMERIHEALTH PROVIDER ID
NJ
01
—
1044982
HORIZON NJ HEALTH
NJ
01
—
222114864
HORIZON PROVIDER ID
NJ
05
—
2825708
—
NJ
01
—
31D0121012
CLIA ID
NJ
01
—
342921013
RAILROAD MEDICARE ID
NJ
01
—
J006377
TRICARE ID #
NJ
Enumeration date
09/17/2006
Last updated
10/03/2011
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