Provider Demographics
NPI:1548222409
Name:HARWICK, JEAN C (MD)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:C
Last Name:HARWICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:203 LOTHROP STREET
Mailing Address - Street 2:EYE AND EAR INSTITUTE
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:412-647-2200
Mailing Address - Fax:412-647-5119
Practice Address - Street 1:203 LOTHROP ST
Practice Address - Street 2:EYE AND EAR INSTITUTE
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2548
Practice Address - Country:US
Practice Address - Phone:412-647-2200
Practice Address - Fax:412-647-5119
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2014-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD027983E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010204290003Medicaid
PAC32794Medicare UPIN
PA174069Medicare PIN