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
Phone: (617) 868-0847
Fax: (617) 491-6048
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568462620 | NPPES |
| Massachusetts | MEDICAID | 3099547 |
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