Individual
LAWRENCE MARC VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, RADIOLOGY BRIGHAM & WOMANS HOSPITAL, BOSTON, MA 02115
(617) 732-6280
Mailing address
75 FRANCIS ST, RADIOLOGY BRIGHAM & WOMANS HOSPITAL, BOSTON, MA 02115
(617) 732-6280
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
220062
MA
2085U0001X
Diagnostic Ultrasound Physician
Primary
220062
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2036169
—
MA
01
—
453585
TUFTS HEALTH PLAN
MA
01
—
J27199
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/17/2006
Last updated
09/12/2012
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