Individual provider · Type 1 NPI

Mark Charles Andrew

Surgical Physician Assistant · Boston, MA

NPI number 1902322183 Active

Practice location

150 S Huntington Ave
Boston, MA 02130-4817

Call (857) 364-5795 Map

Mailing address

21 Bay State Rd Unit 1
Boston, MA 02215-2101

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA6230 (MA)
Surgical Physician Assistant Primary 363AS0400XPA6230 (MA)

Surgical Physician Assistant: Definition to come...

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About NPI 1902322183

Mark Charles Andrew's National Provider Identifier is 1902322183, issued on Aug 18, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boston, MA. The record was last updated on Apr 17, 2023.