# MASS GENERAL BRIGHAM MEDICAL GROUP WESTERN MASSACHUSETTS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CD PRACTICE ASSOCIATES, INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295787919
- **Authorized official:** LINDSAY GAINER (PRESIDENT & COO)
- **Authorized official phone:** (857) 282-3914

## Contact information

- **Practice address:** 30 LOCUST ST, NORTHAMPTON, MA 01060-2052
- **Practice address phone:** (413) 582-2898
- **Practice address fax:** (413) 582-2958
- **Mailing address:** 399 REVOLUTION DR, SOMERVILLE, MA 02145-1484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LH0002X | Hospice and Palliative Medicine (Anesthesiology) Physician | — | MA | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | — |
| 207RH0003X | Hematology & Oncology Physician | — | — | — |
| 207RI0200X | Infectious Disease Physician | — | NULL | — |
| 207RI0200X | Infectious Disease Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 06/02/2025