Provider Demographics
NPI:1194829762
Name:HARRER, MICHAEL FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:FRANCIS
Last Name:HARRER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 CHESTNUT ST STE 520
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4430
Mailing Address - Country:US
Mailing Address - Phone:800-321-9999
Mailing Address - Fax:267-339-3761
Practice Address - Street 1:999 ROUTE 73 N STE 401
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-1227
Practice Address - Country:US
Practice Address - Phone:800-321-9999
Practice Address - Fax:267-479-1321
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06231800207X00000X
NY303526207X00000X
PAMD444984207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1115184OtherHORIZON NJ HEALTH
1146556OtherHORIZON NJ HEALTH
747998OtherPA BLUE SHIELD
NJ8410208Medicaid
2123427OtherUNITED HEALTHCARE
0493927000OtherAMERIHEALTH
1947929OtherUNITED HEALTHCARE
2218550OtherAETNA
0546486000OtherAMERIHEALTH
2539760OtherAETNA
NJ7894104Medicaid
2025564000OtherAMERIHEALTH
223646903OtherHORIZON
2171210OtherAETNA
G79536Medicare UPIN
2218550OtherAETNA
026429PLSMedicare ID - Type Unspecified
044564PLSMedicare ID - Type Unspecified