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Individual

JOSEPH M REGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1 HOSPITAL RD, OAK BLUFFS, MA 02557-1406
(508) 693-0410
Mailing address
25A JUNE ST, SANFORD, ME 04073-2642
(207) 490-7900

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1413
NH
363A00000X
Physician Assistant
PA2197
ME
363A00000X
Physician Assistant
PA8107
MA

Other

Enumeration date
09/21/2018
Last updated
05/21/2024
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