Organization
MASS GENERAL BRIGHAM MEDICAL GROUP WESTERN MASSACHUSETTS INC
Active
Other names
CD PRACTICE ASSOCIATES, INC
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY GAINER (PRESIDENT & COO)
(857) 282-3914
Entity
Organization
Contact information
Practice address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2898
(413) 582-2958
Mailing address
399 REVOLUTION DR, SOMERVILLE, MA 02145-1484
Taxonomy
Speciality
Code
Description
License number
State
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
—
MA
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208600000X
Surgery Physician
—
—
213E00000X
Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
614074
TUFTS HEALTH PLAN
MA
01
—
617074
TUFTS HEALTH PLAN
MA
05
—
9774653
—
MA
01
—
CJ0816
MEDICARE RAILROAD
MA
01
—
M15904
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS
MA
Enumeration date
05/17/2006
Last updated
06/02/2025
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