Healthcare Provider Details

I. General information

NPI: 1164860540
Provider Name (Legal Business Name): ATRIUS HEALTH INC. DBA HARVARD VANGUARD MEDICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2013
Last Update Date: 06/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 BAKER AVE
CONCORD MA
01742-2188
US

IV. Provider business mailing address

275 GROVE ST SUITE 3-300
AUBURNDALE MA
02466-2272
US

V. Phone/Fax

Practice location:
  • Phone: 978-287-9300
  • Fax:
Mailing address:
  • Phone: 617-559-8005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. EUGENE LINDSAY
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MD
Phone: 617-559-8005