Provider Demographics
NPI:1336859842
Name:FLEMING, HAROLD EDWARD JR (MD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:EDWARD
Last Name:FLEMING
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-1231
Mailing Address - Country:US
Mailing Address - Phone:650-996-2652
Mailing Address - Fax:
Practice Address - Street 1:2011 COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1231
Practice Address - Country:US
Practice Address - Phone:650-996-2652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-25
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG076537207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease