Organization
HARRYS PRIMARY CARE LLC
Active
Other names
Harry's Primary Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY LI M.D. (DIRECTOR)
(410) 312-4700
Entity
Organization
Contact information
Practice address
8600 SNOWDEN RIVER PKWY, SUITE 301, COLUMBIA, MD 21045-1982
(410) 312-4700
(410) 312-0400
Mailing address
8600 SNOWDEN RIVER PKWY, SUITE 301, COLUMBIA, MD 21045-1982
(410) 312-4700
(410) 312-0400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0056531
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129373
AETNA PPO
MD
01
—
F991
BCBS FEP
MD
01
—
KCC1HA
BLUCECROSS OF MARYLAND
MD
Enumeration date
02/09/2007
Last updated
04/20/2008
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