Individual
DR. HARRIS DAVID SLAVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1317 S MAIN RD STE 2A, VINELAND, NJ 08360-6511
(856) 691-2225
(856) 696-6992
Mailing address
1317 SOUTH MAIN ROAD #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
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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