MEDICARE: DAVID M HARMAN MD LLC

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	152W00000X	Optometrist
2	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1306950431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID M HARMAN MD LLC

Provider Business Mailing Address
First Line	:	PO BOX 45923
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21297-5923
Country	:	US
Telephone Number	:	877-969-0392
Fax Number	:	434-385-1414

Provider Business Practice Location Address
First Line	:	1825 GRAVES MILL RD
Second Line	:
City	:	FOREST
State	:	VA
Zip	:	24551-3967
Country	:	US
Telephone Number	:	434-385-5600
Fax Number	:	434-385-1414

Authorized Official
Title or Position	:	INSURANCE MANAGER
Name	:	AMY BURTON
Credential	:
Telephone Number	:	434-661-7762

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	06/25/2024

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