Provider Demographics
NPI:1447592092
Name:HARRIS, REBECCA ARDEN (MD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ARDEN
Last Name:HARRIS
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Gender:
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:3737 MARKET ST
Mailing Address - Street 2:FL 9
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-5545
Mailing Address - Country:US
Mailing Address - Phone:215-662-8777
Mailing Address - Fax:215-243-4601
Practice Address - Street 1:3737 MARKET ST
Practice Address - Street 2:9TH FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-5545
Practice Address - Country:US
Practice Address - Phone:215-662-8777
Practice Address - Fax:215-243-4601
Is Sole Proprietor?:No
Enumeration Date:2013-03-21
Last Update Date:2025-04-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD456356207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine