Basic Information
| Provider Information | |||||||||
| NPI: | 1194829762 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HARRER | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | FRANCIS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 833 CHESTNUT ST STE 520 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191074430 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8003219999 | ||||||||
| FaxNumber: | 2673393761 | ||||||||
| Practice Location | |||||||||
| Address1: | 999 ROUTE 73 N STE 401 | ||||||||
| Address2: | |||||||||
| City: | MARLTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080531227 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8003219999 | ||||||||
| FaxNumber: | 2674791321 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/12/2006 | ||||||||
| LastUpdateDate: | 02/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/21/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 25MA06231800 | NJ | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | 303526 | NY | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | MD444984 | PA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 1115184 | 01 | HORIZON NJ HEALTH | OTHER | 1146556 | 01 | HORIZON NJ HEALTH | OTHER | 747998 | 01 | PA BLUE SHIELD | OTHER | 8410208 | 05 | NJ | MEDICAID | 2123427 | 01 | UNITED HEALTHCARE | OTHER | 0493927000 | 01 | AMERIHEALTH | OTHER | 1947929 | 01 | UNITED HEALTHCARE | OTHER | 2218550 | 01 | AETNA | OTHER | 0546486000 | 01 | AMERIHEALTH | OTHER | 2539760 | 01 | AETNA | OTHER | 7894104 | 05 | NJ | MEDICAID | 2025564000 | 01 | AMERIHEALTH | OTHER | 223646903 | 01 | HORIZON | OTHER | 2171210 | 01 | AETNA | OTHER |