MEDICARE: JULES KANN M.D. AND MALCOLM HARRIS M.D, PC

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
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1144216763	OTHER	PA	INDIVIDUAL NPI NUMBER

General Provider Information

NPI Number	:	1811933625
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JULES KANN M.D. AND MALCOLM HARRIS M.D, PC

Provider Business Mailing Address
First Line	:	1099 NORTH AVE
Second Line	:
City	:	MILLVALE
State	:	PA
Zip	:	15209-2247
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1099 NORTH AVE
Second Line	:
City	:	MILLVALE
State	:	PA
Zip	:	15209-2247
Country	:	US
Telephone Number	:	412-821-4443
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MALCOLM S HARRIS
Credential	:	M.D.
Telephone Number	:	412-821-4443

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	10/31/2012

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