Hagan, Gregory N

Hagan, Gregory N is an individual health care provider with primary practice located at 119 Windsor St Windsor Street Health Center, Cambridge MA 02139-3647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hagan, Gregory N can be contacted via phone (617) 665-3600.

Contact Information

Primary practice address
119 Windsor St Windsor Street Health Center Cambridge MA 02139-3647
Phone: (617) 665-3600
Fax: (617) 665-3603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 70814 Massachusetts

Profile Details

NPI number 1245203306
LBN Legal business name Hagan, Gregory N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Nov 21st, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245203306 NPPES
Other 714861 TUFTS
Other J09328 TUFTS
MEDICAID 3091562 TUFTS

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