Individual
DR. GREGORY G. HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1415 BEACON ST, STE 320, BROOKLINE, MA 02446-4812
(617) 983-0076
(877) 991-8309
Mailing address
1770 MASSACHUSETTS AVE # 271, CAMBRIDGE, MA 02140-2808
(617) 983-0076
(877) 991-8309
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
79525
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3132439
—
MA
01
—
HAJ14771
MEDICARE
MA
01
—
J14771
PTAN
MA
Enumeration date
05/26/2006
Last updated
12/31/2020
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