Basic Information
| Provider Information | |||||||||
| NPI: | 1740215730 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MARSH | ||||||||
| FirstName: | REGAN | ||||||||
| MiddleName: | H | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 81 CHILD ST | ||||||||
| Address2: | UNIT 2 | ||||||||
| City: | JAMAICA PLAIN | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021303237 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6177328070 | ||||||||
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| Practice Location | |||||||||
| Address1: | BRIGHAM AND WOMEN'S HOSPITAL | ||||||||
| Address2: | 75 FRANCIS ST/EMERGENCY MEDICINE | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02115 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6177328070 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 230033 | MA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.