Knutzen, Anders Mark

Knutzen, Anders Mark is an individual health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Knutzen, Anders Mark can be contacted via phone (617) 724-0288.

Contact Information

Primary practice address
55 Fruit St Boston MA 02114-2621
Phone: (617) 724-0288
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 34477 Minnesota
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 291560 Massachusetts

Profile Details

NPI number 1912985037
LBN Legal business name Knutzen, Anders Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Apr 21st, 2022 - about 2 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 1912985037 NPPES
Minnesota MEDICAID 447282900

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