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:
Health care specialties
| Specialty | Code | License # | 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 13 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 | 1245203306 | NPPES |
| Other | 714861 | TUFTS | |
| Other | J09328 | TUFTS | |
| MEDICAID | 3091562 | TUFTS |
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