Provider Demographics
NPI:1619944105
Name:CAMBRIDGE HEALTH ALLIANCE
Entity Type:Organization
Organization Name:CAMBRIDGE HEALTH ALLIANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LIOR
Authorized Official - Middle Name:
Authorized Official - Last Name:GIVON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-665-2105
Mailing Address - Street 1:156 RAYMOND STREET
Mailing Address - Street 2:APT 2
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140
Mailing Address - Country:US
Mailing Address - Phone:617-492-1529
Mailing Address - Fax:
Practice Address - Street 1:156 RAYMOND ST
Practice Address - Street 2:APT 2
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140-3315
Practice Address - Country:US
Practice Address - Phone:617-492-1529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital