Individual
JUSTIN J HARBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2112 HARRISBURG PIKE, SUITE 202, LANCASTER, PA 17601-2644
(717) 544-3500
(717) 544-3501
Mailing address
2112 HARRISBURG PIKE STE 202, LANCASTER, PA 17601-2644
(717) 869-4600
(717) 544-3501
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD425016
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021109620001
—
PA
05
—
1021109620003
—
PA
05
—
1021109620004
—
PA
01
—
122837KKU
MEDICARE
PA
01
—
P01877762
RR MEDICARE
PA
Enumeration date
01/11/2008
Last updated
06/13/2019
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