Provider Demographics
NPI:1477963304
Name:HARMON, JEFFREY JOSEPH JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:JOSEPH
Last Name:HARMON
Suffix:JR
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 1:2752 ERIE AVENUE
Mailing Address - Street 2:STE 3
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-2207
Mailing Address - Country:US
Mailing Address - Phone:596-091-5968
Mailing Address - Fax:
Practice Address - Street 1:2752 ERIE AVENUE
Practice Address - Street 2:STE 3
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-2207
Practice Address - Country:US
Practice Address - Phone:596-091-5968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-30
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY54193207YS0123X
OH35.140135207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery