Provider Demographics
NPI:1588624357
Name:STEIN, HARMON C (MD)
Entity Type:Individual
Prefix:DR
First Name:HARMON
Middle Name:C
Last Name:STEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1568 WOODBOURNE RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19057-1508
Mailing Address - Country:US
Mailing Address - Phone:215-943-7800
Mailing Address - Fax:215-943-5799
Practice Address - Street 1:1568 WOODBOURNE RD
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19057-1508
Practice Address - Country:US
Practice Address - Phone:215-943-7800
Practice Address - Fax:215-943-5799
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD024271E207W00000X
NJ25MA04570600207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1249203Medicaid
NJ0399809Medicaid
PA1249203Medicaid
C32574Medicare UPIN
NJ404505CCUMedicare ID - Type UnspecifiedNJ INDIVIDUAL MEDICARE