Provider Demographics
NPI:1043499494
Name:HARMAN, STEPHEN ED (CCP)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:ED
Last Name:HARMAN
Suffix:
Gender:M
Credentials:CCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1162 MORSE AVE
Mailing Address - Street 2:APT # 202
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94089-4629
Mailing Address - Country:US
Mailing Address - Phone:650-521-2414
Mailing Address - Fax:650-615-9995
Practice Address - Street 1:1162 MORSE AVE
Practice Address - Street 2:APT # 202
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94089-4629
Practice Address - Country:US
Practice Address - Phone:650-521-2414
Practice Address - Fax:650-615-9995
Is Sole Proprietor?:No
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA069032242T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionist