Healthcare Provider Details

I. General information

NPI: 1215134325
Provider Name (Legal Business Name): MICHAEL J. REGAN IV MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2007
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 WASHINGTON ST
NORWOOD MA
02062-3487
US

IV. Provider business mailing address

62 LENOX DR
FRANKLIN MA
02038-1189
US

V. Phone/Fax

Practice location:
  • Phone: 781-769-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number89997183
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number89997183
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number238929
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: