Provider Demographics
NPI:1811105794
Name:SLANSKY, HARVEY H (MD)
Entity type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:H
Last Name:SLANSKY
Suffix:
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 1:1772 WEDGEWOOD CMN
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-2898
Mailing Address - Country:US
Mailing Address - Phone:978-369-5641
Mailing Address - Fax:
Practice Address - Street 1:1772 WEDGEWOOD CMN
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2898
Practice Address - Country:US
Practice Address - Phone:978-369-5641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA30918207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology