Organization
MASS GENERAL BRIGHAM MEDICAL GROUP SUBURBAN MASSACHUSETTS INC
Active
Other names
Newton-Wellesley Ambulatory Services, Inc., Newton-Wellesley Medical Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY GAINER (PRESIDENT & COO)
(857) 282-3914
Entity
Organization
Contact information
Practice address
2014 WASHINGTON STREET, NEWTON, MA 02462-1607
(617) 243-6262
(617) 243-6954
Mailing address
399 REVOLUTION DR, SOMERVILLE, MA 02145-1484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110067798A
—
MA
01
—
247616
ANTHEM BCBS
VA
01
—
610605
TUFTS
MA
05
—
9711597
—
MA
01
—
M18007
BLUE CROSS
MA
01
—
M18311
BLUE CROSS PSYCHIATRY
MA
Enumeration date
07/06/2006
Last updated
06/02/2025
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