Individual
MARY C HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - NEONATOLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-1944
(215) 590-4454
Mailing address
100 E PENN SQ, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9234
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD022865E
PA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD022865E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008817190002
—
PA
05
—
0871206
—
NJ
Enumeration date
06/21/2006
Last updated
04/17/2013
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