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Individual

SEAN P HARBISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3133
(215) 707-3945
Mailing address
PO BOX 827783, PHILADELPHIA, PA 19182-7783
(215) 707-3133
(215) 707-3945

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD039974E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012949890006
PA
Enumeration date
10/13/2005
Last updated
01/27/2010
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