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Individual

DAVID S HARNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
170 GOVERNORS AVE, 1ST FLOOR, MEDFORD, MA 02155-1643
(781) 306-6160
(781) 306-6175
Mailing address
170 GOVERNORS AVE, 1ST FLOOR, MEDFORD, MA 02155-1643
(781) 306-6160
(781) 306-6175

Taxonomy

Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
43765
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002512686130
OXFORD
MA
05
0194778
MA
01
260005817
RAILROAD MEDICARE
MA
01
700220
TUFTS/SECURE HORIZONS
MA
01
C04851
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
02/14/2006
Last updated
09/30/2013
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