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NPI Code Detail

MEDICARE: MR. JAYCE-TYLER HARMON

MEDICARE: MR. JAYCE-TYLER HARMON
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
1390200000XStudent in an Organized Health Care Education/Training ProgramNJ
22255A2300XAthletic TrainerNJ

General Provider Information

NPI Number : 1720921109
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAYCE-TYLER HARMON
Provider Business Mailing Address
First Line : 7 BIG POND DR
Second Line :
City : MILFORD
State : DE
Zip : 19963-3912
Country : US
Telephone Number : 302-569-1403
Fax Number :
Provider Business Practice Location Address
First Line : 300 POMPTON RD
Second Line :
City : WAYNE
State : NJ
Zip : 07470-2103
Country : US
Telephone Number : 973-720-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2026
Last Update Date : 04/10/2026

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Directions to “ MR. JAYCE-TYLER HARMON ” Practice Location

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