Provider Demographics
NPI:1861626533
Name:JAHR-PHILIPS, HARRIET HEIDI
Entity Type:Individual
Prefix:MRS
First Name:HARRIET
Middle Name:HEIDI
Last Name:JAHR-PHILIPS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HARRIET
Other - Middle Name:HEIDI
Other - Last Name:JAHR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT, NCTMB
Mailing Address - Street 1:517 CROWN ST
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19067-6221
Mailing Address - Country:US
Mailing Address - Phone:215-295-2361
Mailing Address - Fax:215-295-0981
Practice Address - Street 1:2997 PRINCETON PIKE
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-3224
Practice Address - Country:US
Practice Address - Phone:609-771-0700
Practice Address - Fax:609-771-0800
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26BT00105600171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor