Individual
DR. HARRISON PHILLIP BANNETT
Active
Individual
DR. HARRISON PHILLIP BANNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MB11890500
NJ
207W00000X
Ophthalmology Physician
71130
CT
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
25MB11890500
NJ
Other
Enumeration date
04/11/2018
Last updated
09/20/2023
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