Physician Assistant
HARIS BASIC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1386408995 · enumerated 2024-02-13 · record updated 2025-09-23. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 1735 ASHLEY HALL RD APT 122, CHARLESTON, SC, 29407-4005 (717) 645-0647 Google Maps Apple Maps OpenStreetMap
- Practice location 1250 S CEDAR CREST BLVD STE 205, ALLENTOWN, PA, 18103-6271 (610) 402-9116 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License MA067100 PA
- Student in an Organized Health Care Education/Training Program 390200000X
In this directory
Locations and evidence
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Practice location
ALLENTOWN, PA, 181036271
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.