Provider Demographics
NPI:1427237833
Name:LYNN H.GALEN, M.D.,P.C.
Entity type:Organization
Organization Name:LYNN H.GALEN, M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:H
Authorized Official - Last Name:GALEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-640-7340
Mailing Address - Street 1:29 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-4323
Mailing Address - Country:US
Mailing Address - Phone:781-391-0532
Mailing Address - Fax:
Practice Address - Street 1:96 GARLAND ST
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:MA
Practice Address - Zip Code:02149-5067
Practice Address - Country:US
Practice Address - Phone:781-640-7340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA53139207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM18931OtherBLUE CROSS