Healthcare Provider Details

I. General information

NPI: 1396481065
Provider Name (Legal Business Name): DANIEL JOSEPH HARRIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2022
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MASSACHUSETTS GENERAL HOSPITAL 15 PARKMAN STREET, WANG 812
BOSTON MA
02114
US

IV. Provider business mailing address

MASSACHUSETTS GENERAL HOSPITAL 15 PARKMAN STREET, WANG 812
BOSTON MA
02114
US

V. Phone/Fax

Practice location:
  • Phone: 617-726-9550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number1021110
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: