Provider Demographics
NPI:1821032178
Name:PICKEN, HAROLD A (MD)
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:A
Last Name:PICKEN
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 NEWPORT AVE
Mailing Address - Street 2:EXT MS 12/15
Mailing Address - City:NORTH QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02171
Mailing Address - Country:US
Mailing Address - Phone:617-246-3232
Mailing Address - Fax:
Practice Address - Street 1:25 NEWPORT AVE
Practice Address - Street 2:EXT MS 12/15
Practice Address - City:NORTH QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02171
Practice Address - Country:US
Practice Address - Phone:617-246-3232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA79885207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine