Provider Demographics
NPI:1124092853
Name:MCGOVERN, FRANCIS JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:JAMES
Last Name:MCGOVERN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 845185
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02284-5185
Mailing Address - Country:US
Mailing Address - Phone:617-557-5422
Mailing Address - Fax:617-523-8974
Practice Address - Street 1:1 HAWTHORNE PL
Practice Address - Street 2:SUITE 109
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2333
Practice Address - Country:US
Practice Address - Phone:617-557-5422
Practice Address - Fax:617-523-8974
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA55277208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0017462OtherNHP
MA055277OtherTUFTS
MA99172902OtherNETWORK HEALTH
MAJ07611OtherMEDEX
MAC12913OtherRR MEDICARE
MAJ07611OtherBLUE SHIELD
MA000965250004OtherUNITED HEALTHCARE
MA1020648OtherAETNA
MA27324MGHOtherHARVARD PILGRIM
MA3037738Medicaid
MAJ07611Medicare PIN
MA99172902OtherNETWORK HEALTH