Provider Demographics
NPI:1063059111
Name:HARBOR PEDIATRICS, P.A.
Entity type:Organization
Organization Name:HARBOR PEDIATRICS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCARPONI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:207-606-2032
Mailing Address - Street 1:1 BRICKYARD LN STE B
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-1686
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 BRICKYARD LN UNIT B
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-1686
Practice Address - Country:US
Practice Address - Phone:207-606-2032
Practice Address - Fax:207-606-2039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-09
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty