Individual
DR. KEITH PAUL ANDREWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
103 PLEASANT ST, MALDEN, MA 02148
(781) 397-8213
(781) 397-8213
Mailing address
103 PLEASANT ST, MALDEN, MA 02148-4907
(781) 324-4111
(781) 397-8213
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3978
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0334944
—
MA
01
—
W16138
BCBS MA
MA
Enumeration date
10/25/2006
Last updated
07/04/2018
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