Anderson, John

Anderson, John is an individual health care provider with primary practice located at 300 Mount Auburn St Ste 517, Cambridge MA 02138-5600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Anderson, John can be contacted via phone (617) 868-0847.

Contact Information

Primary practice address
300 Mount Auburn St Ste 517 Cambridge MA 02138-5600
Fax: (617) 491-6048
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 76521 Massachusetts

Profile Details

NPI number 1568462620
LBN Legal business name Anderson, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Apr 9th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568462620 NPPES
Massachusetts MEDICAID 3099547

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