Healthcare Provider Details

I. General information

NPI: 1427012830
Provider Name (Legal Business Name): THOMAS F HARMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 01/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 JD ANDERSON DR STE 402
MORGANTOWN WV
26505-1238
US

IV. Provider business mailing address

PO BOX 1615
MORGANTOWN WV
26507-1615
US

V. Phone/Fax

Practice location:
  • Phone: 304-599-6811
  • Fax: 304-599-7159
Mailing address:
  • Phone: 304-599-6811
  • Fax: 304-599-7159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number16947
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number16947
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: