Healthcare Provider Details

I. General information

NPI: 1740858331
Provider Name (Legal Business Name): ERIN ELIZABETH HARVEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2021
Last Update Date: 12/11/2024
Certification Date: 12/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 S 5TH AVE
DENTON MD
21629-1398
US

IV. Provider business mailing address

808 S 5TH AVE
DENTON MD
21629-1398
US

V. Phone/Fax

Practice location:
  • Phone: 410-479-2650
  • Fax: 833-908-2283
Mailing address:
  • Phone: 410-479-2650
  • Fax: 833-908-2283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0100760
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: