Provider Demographics
NPI:1669440111
Name:HORAN, JOSEPH F (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:F
Last Name:HORAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:15 PAYSON RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035-1393
Mailing Address - Country:US
Mailing Address - Phone:508-772-1438
Mailing Address - Fax:508-772-1439
Practice Address - Street 1:15 PAYSON RD
Practice Address - Street 2:SUITE 3
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035-1393
Practice Address - Country:US
Practice Address - Phone:508-772-1438
Practice Address - Fax:508-772-1439
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-10
Last Update Date:2015-04-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA56369207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA4041147OtherAETNA HEALTHCARE
MA0005822OtherNEIGHBORHOOD HEALTH
MA716749OtherTUFTS HEALTH PLAN
MA0101311OtherUNITED HEALTHCARE
MAJ07119OtherBC/BS OF MASS
MA7332OtherHARVARD PILGRIM
MA3034321Medicaid
MAB10055101OtherCIGNA
MAJ07119OtherBC/BS OF MASS
MAB10055101OtherCIGNA