Lederman, Andrew

Lederman, Andrew is an sole proprietor health care provider with primary practice located at 725 Albany Street Shapiro 7, Suite B, Boston MA 02118. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Lederman, Andrew can be contacted via phone (617) 638-8456.

Contact Information

Primary practice address
725 Albany Street Shapiro 7, Suite B Boston MA 02118
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 282861 Massachusetts
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X MD21261 Maine
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 282861 Massachusetts

Profile Details

NPI number 1801162862
LBN Legal business name Lederman, Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2012
Last updated Mar 22nd, 2021 - about 4 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 1801162862 NPPES
Massachusetts MEDICAID 110162911A
Massachusetts MEDICAID 3123973

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