Organization
HARBOR MEDICAL ASSOCIATES, INC.
Active
Parent organization
HARBOR MEDICAL ASSOCIATES, INC.
Other names
Physicians Diagnostics
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARBOR MEDICAL ASSOCIATES, INC.
Authorized official
DR. PETER GRAPE MD (CHIEF)
(781) 952-1249
Entity
Organization
Contact information
Practice address
541 MAIN ST, SUITE 420, SOUTH WEYMOUTH, MA 02190-1868
(781) 952-1367
(781) 952-1379
Mailing address
541 MAIN ST, SUITE 420, SOUTH WEYMOUTH, MA 02190-1868
(781) 952-1367
(781) 952-1379
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
59350
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0810908
—
MA
01
—
805999
TUFTS HEALTH PLAN
MA
01
—
P00154072
RAILROAD MEDICARE
MA
Enumeration date
06/28/2007
Last updated
08/07/2017
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