Provider Demographics
NPI:1962556399
Name:O'GARR, JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:O'GARR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:25 WALNUT ST STE 201
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-2100
Mailing Address - Country:US
Mailing Address - Phone:781-426-3390
Mailing Address - Fax:781-658-2692
Practice Address - Street 1:25 WALNUT ST STE 201
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-2100
Practice Address - Country:US
Practice Address - Phone:781-426-3390
Practice Address - Fax:781-658-2692
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2342122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA001710301Medicare PIN