Provider Demographics
NPI:1568562254
Name:HARMON, JUSTIN D (DO)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:D
Last Name:HARMON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:41 UNIVERSITY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-5522
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:1203 LANGHORNE NEWTOWN RD STE 225
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1237
Practice Address - Country:US
Practice Address - Phone:215-710-4490
Practice Address - Fax:215-710-4491
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2021-05-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMB08004900208600000X, 208800000X
PAOS012038208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001828368OtherHIGHMARK BLUE SHIELD
PAP01327722OtherRAILROAD MEDICARE
PA1220864OtherCIGNA PA
PA2132766000OtherKEYSTONE IBC
PA7881786OtherAETNA
PA0019376680007OtherUNITED
PA30153723OtherKEYSTONE FIRST
PA2132766000OtherKEYSTONE IBC
PA30153723OtherKEYSTONE FIRST