Individual
DR. WILLARD MANNING DAGGETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 CENTRE ST, DOVER, MA 02030-2203
(617) 726-8840
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25915
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119865
—
MA
01
—
25915
TUFTS HEALTH PLAN
MA
01
—
M03882
BCBS MA
MA
Enumeration date
10/20/2005
Last updated
07/08/2007
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