Provider Demographics
NPI:1407811045
Name:HARBORVIEW PLASTIC SURGERY AND NEUROLOGY
Entity Type:Organization
Organization Name:HARBORVIEW PLASTIC SURGERY AND NEUROLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN-PIERRE
Authorized Official - Middle Name:ALAIN
Authorized Official - Last Name:RIOU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-896-5806
Mailing Address - Street 1:19615 LIVERPOOL PKWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-4039
Mailing Address - Country:US
Mailing Address - Phone:704-896-5806
Mailing Address - Fax:704-896-5809
Practice Address - Street 1:19615 LIVERPOOL PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-4039
Practice Address - Country:US
Practice Address - Phone:704-896-5806
Practice Address - Fax:704-896-5809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty