| Doctor Name: | DR. MICHAEL J HARRISON |
| NPI Number: | 1508849936 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 11401 |
| Business Practice Address: | 480 Hawthorn St Ste 200 N Dartmouth, MA - 027473713 |
| Business Phone Number: | 5089933555 |
| Business Fax Number: | 5089901176 |
| Mailing Address: | 200 Mill Rd, Ste 180 FAIRHAVEN |
| State: | MA |
| Postal Code: | 027195252 |
| Phone Number: | 5089732000 |
| Fax Number: | 5089732001 |
| NPI Enumeration Date: | 11/21/2005 |
| NPI Last Update Date: | 03/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 11401 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | RI |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |