Organization
DIGESTIVE HEALTH ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MOORE VANNEMAN M.D. (PRESIDENT)
(781) 729-5855
Entity
Organization
Contact information
Practice address
955 MAIN ST, WINCHESTER, MA 01890-1961
(781) 729-5855
(781) 721-5891
Mailing address
91 MONTVALE AVE, STONEHAM, MA 02180-3623
(781) 729-5855
(781) 721-5891
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0793871
US HEALTH
MA
01
—
612820
TUFTS HEALTH PLAN
MA
05
—
9781447
—
MA
01
—
M16696
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
06/15/2006
Last updated
08/22/2020
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