Organization
HARVARD VANGUARD MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA GEIHSLER (CHIEF EXECUTIVE OFFICER)
(617) 559-8012
Entity
Organization
Contact information
Practice address
40 HOLLAND ST, SOMERVILLE, MA 02144-2705
(617) 629-6000
(617) 629-6219
Mailing address
275 GROVE ST, SUITE 3-300, AUBURNDALE, MA 02466-2272
(617) 559-8096
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
364S00000X
Clinical Nurse Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
669498
TUFTS
MA
Enumeration date
03/29/2007
Last updated
09/11/2025
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