Provider Demographics
NPI:1427036227
Name:HARASIMOWICZ, JOSEPH A JR (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:A
Last Name:HARASIMOWICZ
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5655 HUDSON DR STE 210
Mailing Address - Street 2:ARIS RADIOLOGY
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-4455
Mailing Address - Country:US
Mailing Address - Phone:330-655-1869
Mailing Address - Fax:330-655-3828
Practice Address - Street 1:5655 HUDSON DR STE 210
Practice Address - Street 2:ARIS RADIOLOGY
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-4455
Practice Address - Country:US
Practice Address - Phone:330-655-1869
Practice Address - Fax:330-655-3828
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-03
Last Update Date:2016-11-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME00544182085R0202X
IN01055947A2085R0202X
GA0415752085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GASSNOtherCHAMPUS TRICARE
GA000701225CMedicaid
GA336573OtherWELLCARE
GA52506963002OtherBCBS OF GEORGIA
GAP00186687OtherRR MEDICARE
AL009974705Medicaid
AL60034229OtherBCBS OF ALABAMA
GAP00186687OtherRR MEDICARE
GA336573OtherWELLCARE