Healthcare Provider Details

I. General information

NPI: 1851315790
Provider Name (Legal Business Name): HAROLD F LYNCH MA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 07/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 MEETINGHOUSE WAY
EDGARTOWN MA
02539-7614
US

IV. Provider business mailing address

206 MEETINGHOUSE WAY
EDGARTOWN MA
02539-7614
US

V. Phone/Fax

Practice location:
  • Phone: 508-939-0083
  • Fax: 509-355-3760
Mailing address:
  • Phone: 508-939-0083
  • Fax: 509-355-3760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: