Magno, Andrea C

Magno, Andrea C is an individual health care provider with primary practice located at 736 Cambridge St , Brighton MA 02135-2907. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Magno, Andrea C can be contacted via phone (617) 789-2381.

Contact Information

Primary practice address
736 Cambridge St Brighton MA 02135-2907
Fax: (617) 789-2735
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 42969 Massachusetts

Profile Details

NPI number 1700872850
LBN Legal business name Magno, Andrea C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Jul 8th, 2007 - about 18 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 1700872850 NPPES
Massachusetts MEDICAID 0149357

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