Provider Demographics
NPI:1619185600
Name:HARBOR HOSPITAL
Entity Type:Organization
Organization Name:HARBOR HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOSPITALIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MISALATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-789-4390
Mailing Address - Street 1:694 WINDSOR DR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21158-4233
Mailing Address - Country:US
Mailing Address - Phone:443-789-4390
Mailing Address - Fax:
Practice Address - Street 1:3001 S HANOVER ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21225-1233
Practice Address - Country:US
Practice Address - Phone:410-350-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0064372282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital