Egan, Harwood
Egan, Harwood is an individual health care provider with primary practice located at 300 Ocean Ave Rhc Revere Healthcare Center, Revere MA 02151-3675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Egan, Harwood can be contacted via phone (617) 485-6350.Contact Information
Primary practice address
300 Ocean Ave Rhc Revere Healthcare Center
Revere MA 02151-3675
Phone: (617) 485-6350
Fax: (617) 485-6391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 49919 | Massachusetts |
Profile Details
| NPI number | 1407846710 |
|---|---|
| LBN Legal business name | Egan, Harwood |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407846710 | NPPES |
| Massachusetts | Other | J04666 | BCBS MA |
| Massachusetts | MEDICAID | 6194036 | BCBS MA |
| Massachusetts | Other | 049919 | BCBS MA |
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