Hanson, Bridget G

Hanson, Bridget G is an individual health care provider with primary practice located at 20 Wall St Harvard Vanguard Medical Associates, Burlington MA 01803-4758. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hanson, Bridget G can be contacted via phone (781) 221-2500.

Contact Information

Primary practice address
20 Wall St Harvard Vanguard Medical Associates Burlington MA 01803-4758
Fax: (781) 221-2510
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 46096 Massachusetts

Profile Details

NPI number 1194700955
LBN Legal business name Hanson, Bridget G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194700955 NPPES
Massachusetts MEDICAID 0146889
Massachusetts Other 0015951
Massachusetts Other 6563095
Massachusetts Other B11714
Massachusetts Other 0092149
Massachusetts Other 12-04563
Massachusetts Other AA8201
Massachusetts Other 046096

Popular Providers