Provider Demographics
NPI:1487910170
Name:HARMON, JOSEPH PAUL (DO)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:PAUL
Last Name:HARMON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 LONGWOOD AVE # FEGAN9
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5724
Mailing Address - Country:US
Mailing Address - Phone:617-355-7970
Mailing Address - Fax:617-730-0463
Practice Address - Street 1:300 LONGWOOD AVE # FEGAN9
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:617-355-7970
Practice Address - Fax:617-730-0463
Is Sole Proprietor?:No
Enumeration Date:2012-04-06
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A155402084N0402X
MA2875862084N0402X
UT12755525-12042084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology