Organization
HARVARD VANGUARD MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. H. EUGENE LINDSEY (CHIEF EXECUTIVE OFFICER)
(617) 559-8260
Entity
Organization
Contact information
Practice address
1153 CENTRE ST, BOSTON, MA 02130
(617) 522-7041
Mailing address
275 GROVE STREET, SUITE 3-300, NEWTON, MA 02466
(517) 559-8374
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033418
NEIGHBORHOOD HEALTH PLAN
MA
01
—
M18801
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/04/2007
Last updated
07/12/2010
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