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
Phone: (617) 638-8456
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801162862 | NPPES |
| Massachusetts | MEDICAID | 110162911A | |
| Massachusetts | MEDICAID | 3123973 |
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