Healthcare Provider Details

I. General information

NPI: 1467433359
Provider Name (Legal Business Name): LGH WOMANHEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2005
Last Update Date: 07/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 MEETINGHOUSE ROAD
CHELMSFORD MA
01824-2454
US

IV. Provider business mailing address

3 MEETING HOUSE RD
CHELMSFORD MA
01824-2738
US

V. Phone/Fax

Practice location:
  • Phone: 978-256-1858
  • Fax: 978-788-7890
Mailing address:
  • Phone: 978-256-1858
  • Fax: 978-788-7890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM J GALVIN III
Title or Position: MD PRESIDENT
Credential: MD
Phone: 978-256-1858