Individual
DR. JOHN WARREN HARTHORNE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN STREET, YAW 5, BOSTON, MA 02114-3117
(617) 726-2876
(617) 726-5988
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28404
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137715
—
MA
01
—
727002
TUFTS HEALTH PLAN
MA
01
—
M05110
BCBS MA
MA
Enumeration date
04/12/2006
Last updated
07/08/2007
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