Mark Charles Andrew
Mark Charles Andrew is a Physician Assistant in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2017.
- Licensed in
- MA
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
150 S Huntington AveBoston, MA 02130-4817
Phone: (857) 364-5795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence PA6230 (MA) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence PA6230 (MA) |
Record details
| NPI number | 1902322183 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 18, 2017 |
| Last updated in NPPES | April 17, 2023 |
| Certification date | April 17, 2023 |
| Mailing address | 21 Bay State Rd Unit 1, Boston, MA 02215-2101 |
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