Individual
DR. DAVID WAYNE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 NORWOOD ST, EVERETT, MA 02149-2709
(617) 394-7500
Mailing address
5 ARLINGTON ST, WINCHESTER, MA 01890-3701
(857) 334-0884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
216239
MA
208000000X
Pediatrics Physician
Primary
216239
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2100134
—
MA
01
—
468008
TUFTS HEALTH PLAN
MA
01
—
J28526
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
03/20/2023
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