Individual
DR. HARWOOD EGAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 OCEAN AVE, RHC REVERE HEALTHCARE CENTER, REVERE, MA 02151-3675
(617) 485-6350
(617) 485-6391
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
49919
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049919
TUFTS HEALTH PLAN
MA
05
—
6194036
—
MA
01
—
J04666
BCBS MA
MA
Enumeration date
10/27/2005
Last updated
07/08/2007
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