Mogollon, Andres D
Mogollon, Andres D is an sole proprietor health care provider with primary practice located at 475 Franklin St Suite 110, Framingham MA 01702-6264. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mogollon, Andres D can be contacted via phone (508) 620-9200.Contact Information
Primary practice address
475 Franklin St Suite 110
Framingham MA 01702-6264
Phone: (508) 620-9200
Fax: (508) 620-6483
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 223378 | Massachusetts |
Profile Details
| NPI number | 1659595429 |
|---|---|
| LBN Legal business name | Mogollon, Andres D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Dec 29th, 2015 - about 9 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 | 1659595429 | NPPES |
| Massachusetts | Other | 001341001 | MEDICARE |
| Massachusetts | MEDICAID | 110084595A | MEDICARE |
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