Individual
JOSEPH BENSON HARLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1209 YORK RD, SUITE 200, LUTHERVILLE, MD 21093-6220
(410) 821-9490
(410) 821-9495
Mailing address
1209 YORK RD, SUITE 200, LUTHERVILLE, MD 21093-6220
(410) 821-9490
(410) 821-9495
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D53191
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180042054
R/R MEDICARE PROVIDER #
MD
05
—
400804900
—
MD
01
—
CC3778
R/R MEDICARE GROUP #
MD
Enumeration date
05/11/2006
Last updated
04/11/2012
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