Basic Information
Provider Information
NPI: 1710399431
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAREL
FirstName: SVETLANA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 FEDERAL ST STE SW200
Address2:  
City: CAMDEN
State: NJ
PostalCode: 081031155
CountryCode: US
TelephoneNumber: 8563564924
FaxNumber:  
Practice Location
Address1: 160 E ERIE AVE
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191341011
CountryCode: US
TelephoneNumber: 2154275000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/29/2014
LastUpdateDate: 06/20/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X25MB10340800NJN Allopathic & Osteopathic PhysiciansPediatrics 
208000000XOT016054PAN Allopathic & Osteopathic PhysiciansPediatrics 
2080P0204X25MB10340800NJN Allopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
2080P0204XOS018683PAY Allopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine

No ID Information.


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