Young, Andrea

Young, Andrea is an individual health care provider with primary practice located at 850 Boylston St , Chestnut Hill MA 02467-2477. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Young, Andrea can be contacted via phone (617) 732-9900.

Contact Information

Primary practice address
850 Boylston St Chestnut Hill MA 02467-2477
Fax: (617) 575-8608
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 209313 Massachusetts

Profile Details

NPI number 1619979820
LBN Legal business name Young, Andrea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Dec 28th, 2017 - about 7 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 1619979820 NPPES
Massachusetts MEDICAID 2081857

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