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Provider Information for 1740261460

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

ANDREW POWELL MD

Gender: MALE

Individual NPI: 1740261460

Calendar   Last Updated:  2010-02-19
  Certification Date: 

Details

Name Value
NPI 1740261460
Enumeration Date 2005-11-09
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address PO BOX 9135 ATT:SHARON SILVA
BROOKLINE, MA 02446-9135
United States

Phone: 800-927-0002 | Fax:
View Map External Link
Primary Practice Address 300 LONGWOOD AVE
BOSTON, MA 02115-5724
United States

Phone: 617-355-2793 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID RI AP29882
MEDICAID MA 3183114
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2080P0202X - Pediatrics Pediatric Cardiology MA 81096