Healthcare Provider Details

I. General information

NPI: 1083611024
Provider Name (Legal Business Name): FRANCIS J CONAHAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2005
Last Update Date: 06/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 WASHINGTON ST SUITE 320
NORWOOD MA
02062-3441
US

IV. Provider business mailing address

825 WASHINGTON ST SUITE 320
NORWOOD MA
02062-3441
US

V. Phone/Fax

Practice location:
  • Phone: 781-769-6935
  • Fax: 781-769-1049
Mailing address:
  • Phone: 781-769-6935
  • Fax: 781-769-1049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number35944
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: