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NPI Code Detail

MEDICARE: ADAM HARRIS M.D.

MEDICARE:   ADAM  HARRIS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician283166MA

General Provider Information

NPI Number : 1396192142
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM HARRIS M.D.
Provider Business Mailing Address
First Line : 330 BROOKLINE AVE
Second Line :
City : BOSTON
State : MA
Zip : 02215-5400
Country : US
Telephone Number : 617-667-7000
Fax Number :
Provider Business Practice Location Address
First Line : 125 PARKER HILL AVE STE 360
Second Line :
City : BOSTON
State : MA
Zip : 02120-2847
Country : US
Telephone Number : 617-754-5524
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2016
Last Update Date : 09/09/2021

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Directions to “ ADAM HARRIS M.D.” Practice Location

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