Individual
ELLIOTT REUBEN EGGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(571) 201-4107
Mailing address
15 PARKMAN ST, WACC 812, BOSTON, MA 02114
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
290268
MA
Other
Enumeration date
03/22/2019
Last updated
05/12/2025
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