Lederman, Andrew B

Lederman, Andrew B is an individual health care provider with primary practice located at 777 North St Suite 407, Pittsfield MA 01201-4147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lederman, Andrew B can be contacted via phone (413) 445-6420.

Contact Information

Primary practice address
777 North St Suite 407 Pittsfield MA 01201-4147
Fax: (413) 499-4907
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 221742 Massachusetts

Profile Details

NPI number 1316935554
LBN Legal business name Lederman, Andrew B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Dec 14th, 2009 - about 16 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 1316935554 NPPES
Massachusetts MEDICAID 2080320

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