Provider Demographics
NPI:1730404518
Name:HARRISON, MEREDITH ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:ANNE
Last Name:HARRISON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:701 OSTRUM ST STE 503
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1153
Mailing Address - Country:US
Mailing Address - Phone:484-526-3950
Mailing Address - Fax:866-954-9593
Practice Address - Street 1:701 OSTRUM ST STE 503
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILL
Practice Address - State:PA
Practice Address - Zip Code:18015
Practice Address - Country:US
Practice Address - Phone:484-526-3950
Practice Address - Fax:866-954-9593
Is Sole Proprietor?:No
Enumeration Date:2010-04-05
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD447370208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)