Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 32488 | MA |
NPI | 1497847982 |
---|---|
Provider Name | Dr. John Mcarthur Harris III |
First Address | Boston, MA 02130 |
Second Address | Boston, MA 02130 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 13/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2036675 | (05) | MA |
B73275 | (02) | MA |
JH16610 | (05) | RI |