Harlan, David M

Harlan, David M is an individual health care provider with primary practice located at 55 Lake Ave N Ambulatory Care Center, Room Ac4.127, Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Harlan, David M can be contacted via phone (508) 334-3206.

Contact Information

Primary practice address
55 Lake Ave N Ambulatory Care Center, Room Ac4.127 Worcester MA 01655-0002
Phone: (508) 334-3206
Fax: (508) 856-3811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 242351 Massachusetts

Profile Details

NPI number 1083737951
LBN Legal business name Harlan, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2007
Last updated Oct 28th, 2020 - about 6 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 1083737951 NPPES
Massachusetts MEDICAID 110084080A

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