Organization
ATRIUS HEALTH, INC.
Active
Other names
Harvard Vanguard Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL BURNES (INTERIM CHIEF EXECUTIVE OFFICER)
(617) 559-8393
Entity
Organization
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1000
Mailing address
275 GROVE ST, SUITE 3-300, AUBURNDALE, MA 02466-2272
(617) 559-8374
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
669490
TUFTS
MA
Enumeration date
02/05/2007
Last updated
06/24/2015
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