Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 212536 | MA |
N | 111NI0900X | Internist | 212536 | MA |
Y | 207RA0401X | Internist - Addiction Medicine | 212536 | MA |
NPI | 1740256262 |
---|---|
Provider Name | Dr. Eugene Lambert |
First Address | Charlestown, MA 02129-9142 |
Second Address | Boston, MA 02114-2696 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 28/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0164721 | (05) | MA |
212536 | TUFTS HEALTH PLAN (01) | MA |
H55405 | (02) | |
J24455 | BCBS MA (01) | MA |