Healthcare Provider Details

I. General information

NPI: 1801824966
Provider Name (Legal Business Name): MARGARETE KATHRIN O'HAGAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 GRANITE ST WHITINSVILLE MEDICAL CENTER
WHITINSVILLE MA
01588-1908
US

IV. Provider business mailing address

124 GROVE ST STE 305
FRANKLIN MA
02038-3156
US

V. Phone/Fax

Practice location:
  • Phone: 508-234-6311
  • Fax: 508-234-4215
Mailing address:
  • Phone: 508-528-5392
  • Fax: 508-541-2420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number203908
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: