Provider Demographics
NPI:1871554758
Name:HORGAN, WILLIAM F (DO)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:HORGAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5 NEPONSET ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2714
Mailing Address - Country:US
Mailing Address - Phone:508-634-5050
Mailing Address - Fax:508-634-9621
Practice Address - Street 1:176 WEST ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757
Practice Address - Country:US
Practice Address - Phone:508-634-5050
Practice Address - Fax:508-634-9621
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA72303208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
042472266OtherONE HEALTH PLAN
042472266OtherPRIVATE HEALTHCARE SYSTEM
3072517OtherWELFARE
J10465OtherBLUE SHIELD INDEMNITY
9900123OtherFALLON COMMUNITY HEALTH P
042472266OtherTHREE RIVERS
1060751OtherFIRST HEALTH
J10465OtherBLUE CARE ELECT
J10465OtherBLUE SHIELD HMO BLUE
042472266OtherHEALTHCARE VALUE MANAGEME
28916OtherCHILDRENS MEDICAL SECURIT
7537302OtherAETNA US HEALTHCARE
784146OtherMVP HEALTH CARE
28916OtherHEALTHY START
MA3072517Medicaid
6086350OtherCIGNA HEALTH PLAN
AA1173OtherHARVARD PILGRIM HEALTHCAR
MAJ10465Medicare ID - Type Unspecified
MA3072517Medicaid
28916OtherCHILDRENS MEDICAL SECURIT