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HARVARD VANGUARD MEDICAL ASSOCIATES NPI 1003939703


NPI Information

NPI: 1003939703
Provider Name: HARVARD VANGUARD MEDICAL ASSOCIATES
Classification: Social Worker - 104100000X
Entity Type: Organization
Address:
133 BROOKLINE AVE
BOSTON, MA
ZIP 02215
Phone: (617) 421-1000
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HARVARD VANGUARD MEDICAL ASSOCIATES is a social worker in Boston, MA. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. HARVARD VANGUARD MEDICAL ASSOCIATES NPI is 1003939703. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

133 BROOKLINE AVE
BOSTON, MA
ZIP 02215-904
Phone: (617) 421-1000
Fax: (617) 421-1191

The provider's authorized official is Debra Geihsler .
The authorized official title is Chief Executive Officer and has the following contact phone number (617) 559-8012.

The enumeration date for this NPI number is 4/9/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerYes
2122300000XDentistX
3207K00000XAllergy & ImmunologyX
4207N00000XDermatologyX
5207R00000XInternal MedicineX
6207RC0000XInternal MedicineCardiovascular DiseaseX
7207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismX
8207RG0100XInternal MedicineGastroenterologyX
9207RH0003XInternal MedicineHematology & OncologyX
10207RR0500XInternal MedicineRheumatologyX
11207V00000XObstetrics & GynecologyX
12208000000XPediatricsX
132085B0100XRadiologyBody ImagingX
14208600000XSurgeryX
15225100000XPhysical TherapistX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19782834MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.