Most Relevant Information
Provider Data
| NPI Number: | 1003266131 |
| Provider Name: | ALLEN RUSSELL HARRIS D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | OT017181 |
Most Important Dates
| Enumeration Date: | 06/20/2016 |
| Last Updated: | 08/31/2020 |
Provider Practice Location
3537 W CHESTER PIKE
NEWTOWN SQUARE
PA
190733701
Practice Location Phone/Fax
| Phone: | 6106019177 |
| Fax: | 6100169168 |
Provider Mailing Location
PO BOX 305
NARBERTH
PA
190720305
Provider Mailing Phone/Fax
| Phone: | 6106019177 |
| Fax: | 6106019168 |
Suggested EMR
Family Practice EMR