Provider Demographics
NPI:1053645564
Name:HORGAN, JOSEPH THOMAS SR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:THOMAS
Last Name:HORGAN
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:MRS
Other - First Name:HAZEL
Other - Middle Name:ALEXANDRA
Other - Last Name:HORGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:95 ELGIN RD.
Mailing Address - Street 2:P.O.BOX 15
Mailing Address - City:POCASSET
Mailing Address - State:MA
Mailing Address - Zip Code:02559-0015
Mailing Address - Country:US
Mailing Address - Phone:598-563-6597
Mailing Address - Fax:
Practice Address - Street 1:95 ELGIN RD.
Practice Address - Street 2:
Practice Address - City:POCASSET
Practice Address - State:MA
Practice Address - Zip Code:02559-0015
Practice Address - Country:US
Practice Address - Phone:598-563-6597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA45837207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine