Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edson De Sousa

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376484584

Edson De Sousa is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2026.

Licensed in
MA
In the registry since
2026

Practice location Address checks out

188 Longwood Ave
Boston, MA 02115-5819
Phone: (617) 432-1434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MA)

Record details

NPI number1376484584
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2026
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026
Mailing address188 Longwood Ave, Boston, MA 02115-5819

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