Individual
JUSTIN J HARBERSON
Active
Individual
JUSTIN J HARBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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