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Contact Information

EMILY ANDERSON
55 FRUIT ST
BOSTON, MA02114-2621
 Phone: 617-726-8523
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for EMILY ANDERSON · (Female)

NPI Number 1104389683
Status Active
Credentials
Entity Individual
Enumeration date 04/10/2019
Last updated 08/22/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MA License # 1017011
  • MA License # 279993
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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