Organization
CATHY L VANDENHEUVEL, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHY L VANDENHEUVEL MD (DIRECTOR)
(617) 953-3211
Entity
Organization
Contact information
Practice address
1223 BEACON ST, SUITE E, BROOKLINE, MA 02446-5302
(617) 879-1544
(617) 608-1113
Mailing address
1223 BEACON ST, SUITE E, BROOKLINE, MA 02446-5302
(617) 879-1544
(617) 608-1113
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
209071
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102535
UNITED HEALTHCARE
MA
05
—
0165964
—
MA
01
—
209071
TUFTS
MA
01
—
2725409
AETNA
MA
01
—
691784
HCHP
MA
01
—
J23712
BCBS
MA
Enumeration date
02/14/2006
Last updated
09/29/2010
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