Organization
HARBOR MEDICAL ASSOCIATES, INC.
Active
Parent organization
HARBOR MEDICAL ASSOCIATES, INC.
Other names
Physician Diagnostics
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARBOR MEDICAL ASSOCIATES, INC.
Authorized official
PETER GRAPE MD (CEO)
(781) 952-1249
Entity
Organization
Contact information
Practice address
541 MAIN ST, SUITE 120, SOUTH WEYMOUTH, MA 02190-1868
(781) 952-1577
(781) 952-1440
Mailing address
541 MAIN ST, SUITE 120, SOUTH WEYMOUTH, MA 02190-1868
(781) 952-1577
(781) 952-1440
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036461
NEIGHBORHOOD HEALTH PLAN
MA
05
—
1527801
—
MA
01
—
P00173499
RAILROAD MEDICARE
MA
Enumeration date
09/24/2007
Last updated
08/07/2017
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