Organization
HARVARD VANGUARD MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA GEIHSLER (CHIEF EXECUTIVE OFFICER)
(617) 559-8012
Entity
Organization
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1000
(617) 421-1191
Mailing address
275 GROVE ST, SUITE 3-300, AUBURNDALE, MA 02466-2272
(617) 559-8096
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
122300000X
Dentist
—
—
207K00000X
Allergy & Immunology Physician
—
—
207N00000X
Dermatology Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2085B0100X
Body Imaging Physician
—
—
208600000X
Surgery Physician
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9782834
—
MA
Enumeration date
04/09/2007
Last updated
09/11/2025
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