Provider Demographics
NPI:1740243187
Name:HARRIS, ESTHER R (MD)
Entity Type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:R
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:402 LIPPINCOTT DR
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4112
Mailing Address - Country:US
Mailing Address - Phone:856-782-3300
Mailing Address - Fax:856-504-8029
Practice Address - Street 1:1 S CENTRE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:MERCHANTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08109-2213
Practice Address - Country:US
Practice Address - Phone:856-665-7337
Practice Address - Fax:856-665-8246
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06189800208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
077356 SK3Medicare PIN