Provider Demographics
NPI:1366685596
Name:HIGGINS, HAROLD WILLIAM II (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:WILLIAM
Last Name:HIGGINS
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:800 SPRUCE ST
Mailing Address - Street 2:10TH FL
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5701
Mailing Address - Country:US
Mailing Address - Phone:215-829-7838
Mailing Address - Fax:215-519-0597
Practice Address - Street 1:800 SPRUCE ST
Practice Address - Street 2:10TH FL
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5701
Practice Address - Country:US
Practice Address - Phone:215-829-7838
Practice Address - Fax:215-519-0597
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-17
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD466654207N00000X
390200000X
RIMD14703207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic SurgeryGroup - Single Specialty
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty