Organization
MASS GENERAL BRIGHAM MEDICAL GROUP NORTHERN MASSACHUSETTS INC
Active
Other names
North Shore Physicians Group Inc
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY GAINER (PRESIDENT & COO)
(857) 282-3914
Entity
Organization
Contact information
Practice address
81 HIGHLAND AVE, SALEM, MA 01970-2714
(978) 354-4173
(978) 354-3963
Mailing address
399 REVOLUTION DR, SOMERVILLE, MA 02145-1484
(978) 354-4173
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110000069A
—
MA
01
—
DD1487
RR MEDICARE
MA
01
—
M15641
BLUE CROSS GROUP NUMBER
MA
Enumeration date
06/11/2006
Last updated
06/02/2025
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