Brendan Harrison, MD | |
2100 Dorchester Ave, Dorchester Center, MA 02124-5615 | |
(617) 296-4000 | |
Not Available |
Full Name | Brendan Harrison |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 2100 Dorchester Ave, Dorchester Center, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306330535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 275989 (Massachusetts) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 1014762 (Massachusetts) | Primary |
Entity Name | Massachusetts General Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
Entity Name | Lahey Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
Entity Name | Lahey Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
Entity Name | The General Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
Mailing Address | Practice Location Address |
---|---|
Brendan Harrison, MD 79 Stowecroft Rd, Arlington, MA 02474-2240 Ph: (206) 819-2096 | Brendan Harrison, MD 2100 Dorchester Ave, Dorchester Center, MA 02124-5615 Ph: (617) 296-4000 |
Merav Galper, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2100 Dorchester Ave, Dorchester Center, MA 02124 Phone: 617-296-4000 |