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Andrea Ericksen
NPI 1841572336 · on the registry since 2011
Practice
- Address
- 58 Old Colony Ave
South Boston, MA 02127 - Phone
- (617) 268-1700
- Fax
- (617) 268-1991
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts