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NPI Code Detail

MEDICARE: JEFFREY A HARWOOD M.D.

MEDICARE: JEFFREY A HARWOOD M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician35056103OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669449351
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY A HARWOOD M.D.
Provider Business Mailing Address
First Line : 187 W MAIN ST
Second Line :
City : NEW LONDON
State : OH
Zip : 44851-1018
Country : US
Telephone Number : 419-929-4357
Fax Number : 419-929-0814
Provider Business Practice Location Address
First Line : 187 W MAIN ST
Second Line :
City : NEW LONDON
State : OH
Zip : 44851-1018
Country : US
Telephone Number : 419-929-4357
Fax Number : 419-929-0814
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2006
Last Update Date : 12/24/2014

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