Provider Demographics
NPI:1225308307
Name:HARBOR HOSPITAL
Entity Type:Organization
Organization Name:HARBOR HOSPITAL
Other - Org Name:HARBOR PRIMARY CARE-DRS. DENNIS, DART AND MUNEER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:BREWSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-933-3017
Mailing Address - Street 1:8094 SANDPIPER CIR
Mailing Address - Street 2:SUITE O
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4907
Mailing Address - Country:US
Mailing Address - Phone:410-933-3017
Mailing Address - Fax:410-933-3019
Practice Address - Street 1:901 E FORT AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-4762
Practice Address - Country:US
Practice Address - Phone:410-752-7215
Practice Address - Fax:410-625-2740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty