Organization
ALTHAUSEN MCGOVERN ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS JAMES MCGOVERN M.D. (PRESIDENT)
(617) 523-2394
Entity
Organization
Contact information
Practice address
1 HAWTHORNE PL, SUITE 109, BOSTON, MA 02114-2333
(617) 557-5422
(617) 523-8974
Mailing address
1 HAWTHORNE PL, SUITE 109, BOSTON, MA 02114-2333
(617) 557-5422
(617) 523-8974
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
55277
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004946
NHP
MA
01
—
340015721
RR MEDICARE
MA
01
—
616567
TUFTS
MA
05
—
9738037
—
MA
01
—
M16636
MEDEX
MA
Enumeration date
02/14/2007
Last updated
08/29/2022
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