Provider Demographics
NPI:1346566338
Name:HARBERGER, QUINCY O (MD)
Entity Type:Individual
Prefix:
First Name:QUINCY
Middle Name:O
Last Name:HARBERGER
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 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-812-4053
Mailing Address - Fax:717-775-5006
Practice Address - Street 1:1401 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-2244
Practice Address - Country:US
Practice Address - Phone:717-812-4053
Practice Address - Fax:717-775-5006
Is Sole Proprietor?:No
Enumeration Date:2010-04-15
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD447087207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30153204OtherAMERIHEALTH CARITAS - CE
PAP011837OtherGATEWAY
PA30079617OtherAMERIHEALTH CARITAS - THFP
PA102825284Medicaid
PA30153658OtherAMERIHEALTH CARITAS - WRC
PA786574OtherUPMC
PA30153367OtherAMERIHEALTH CARITAS - HFM
PAP011837OtherGATEWAY
PA291763EZ3Medicare PIN
PA30153658OtherAMERIHEALTH CARITAS - WRC