Healthcare Provider Details

I. General information

NPI: 1942496591
Provider Name (Legal Business Name): STEVEN J. HARRIS,M.D.,P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2007
Last Update Date: 09/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 TURNPIKE ST
NORTH ANDOVER MA
01845-6000
US

IV. Provider business mailing address

630 TURNPIKE ST
NORTH ANDOVER MA
01845-6000
US

V. Phone/Fax

Practice location:
  • Phone: 978-685-9600
  • Fax: 978-685-9611
Mailing address:
  • Phone: 978-685-9600
  • Fax: 978-685-9611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. JANIS LYNN QUIGLEY
Title or Position: BILLING/INSURANCE SUPERVISOR
Credential:
Phone: 978-685-9600