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NPI Code Detail

MEDICARE: HARRIET C EASTMAN M.D.

MEDICARE: HARRIET C EASTMAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician74888MA

General Provider Information

NPI Number : 1972550655
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARRIET C EASTMAN M.D.
Provider Business Mailing Address
First Line : 287 WESTERN AVE
Second Line : JOSEPH M SMITH CHC
City : ALLSTON
State : MA
Zip : 02134-1010
Country : US
Telephone Number : 617-783-0500
Fax Number :
Provider Business Practice Location Address
First Line : 287 WESTERN AVE
Second Line : JOSEPH M SMITH CHC
City : ALLSTON
State : MA
Zip : 02134-1010
Country : US
Telephone Number : 617-783-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2006
Last Update Date : 08/31/2010

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