Provider Demographics
NPI:1871973768
Name:HARRISON, HANNAH BARON (MD)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:BARON
Last Name:HARRISON
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:BARON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:660 WHITE PLAINS RD FL 4
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5187
Mailing Address - Country:US
Mailing Address - Phone:914-333-5801
Mailing Address - Fax:
Practice Address - Street 1:600 JESSUP RD STE 102
Practice Address - Street 2:
Practice Address - City:WEST DEPTFORD
Practice Address - State:NJ
Practice Address - Zip Code:08086-9310
Practice Address - Country:US
Practice Address - Phone:856-576-5748
Practice Address - Fax:856-504-8009
Is Sole Proprietor?:No
Enumeration Date:2015-06-04
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10431600207K00000X, 207K00000X
DEC7-0017588207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology