Provider Demographics
NPI:1447481031
Name:JAMES HARBURGER MD
Entity type:Organization
Organization Name:JAMES HARBURGER MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:HARBURGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-232-3822
Mailing Address - Street 1:8 ALTON PL STE 5
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-6448
Mailing Address - Country:US
Mailing Address - Phone:617-232-3822
Mailing Address - Fax:617-232-3722
Practice Address - Street 1:8 ALTON PL STE 5
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-6448
Practice Address - Country:US
Practice Address - Phone:617-232-3822
Practice Address - Fax:617-232-3722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-31
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA30964261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health