Individual
DR. BRIDGET G HANSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 WALL ST, HARVARD VANGUARD MEDICAL ASSOCIATES, BURLINGTON, MA 01803-4758
(781) 221-2500
(781) 221-2510
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8053
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
46096
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015951
NEIGHBOR HOOD HEALTH
MA
01
—
0092149
AETNA
MA
05
—
0146889
—
MA
01
—
046096
TUFTS
MA
01
—
12-04563
UNITED HEALTHCARE
MA
01
—
6563095
CIGNA
MA
01
—
AA8201
HARVARD PILGRIM HEALTH
MA
01
—
B11714
BLUE CROSS
MA
Enumeration date
12/14/2005
Last updated
07/08/2007
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