Provider Demographics
NPI:1154508737
Name:LUCIENNE A. CAHEN, M.D.
Entity Type:Organization
Organization Name:LUCIENNE A. CAHEN, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUCIENNE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-868-3878
Mailing Address - Street 1:107 GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-6703
Mailing Address - Country:US
Mailing Address - Phone:617-868-3878
Mailing Address - Fax:617-868-3878
Practice Address - Street 1:227 CONCORD AVE
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1334
Practice Address - Country:US
Practice Address - Phone:671-868-3878
Practice Address - Fax:617-868-3878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-26
Last Update Date:2008-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM18245OtherBLUE CROSS BLUE SHIELD