Harvard Vanguard Medical Associates

NPI #1104987783 in Auburndale, Massachusetts

Provider Information

NPI Number: 1104987783
Entity Type: Organization
Organization Name: Harvard Vanguard Medical Associates
Primary Specialty: Dentist
Enumeration Date: Dec 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 275 GROVE ST
Address 2: SUITE 3-300
City: Auburndale
State: Massachusetts
ZIP Code: 02466-2272
Phone: (617) 559-8051

Authorized Official

Name: DEBRA GEIHSLER
Title: CHIEF EXECUTIVE OFFICER
Phone: (617) 559-8012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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