MEDICARE: HARBOR MEDICAL ASSOCIATES,PA

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	207RR0500X	Rheumatology Physician

General Provider Information

NPI Number	:	1477606457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARBOR MEDICAL ASSOCIATES,PA

Provider Business Mailing Address
First Line	:	9301 3RD AVE
Second Line	:
City	:	STONE HARBOR
State	:	NJ
Zip	:	08247-2069
Country	:	US
Telephone Number	:	609-368-1613
Fax Number	:

Provider Business Practice Location Address
First Line	:	9301 3RD AVE
Second Line	:
City	:	STONE HARBOR
State	:	NJ
Zip	:	08247-2069
Country	:	US
Telephone Number	:	609-368-1613
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERTR R SPEER
Credential	:	D.O.
Telephone Number	:	609-368-1613

Provider Enumeration Date	:	01/21/2007
Last Update Date	:	08/22/2020

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