Individual
DR. AMANDA G POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
LAHEY HOSPITAL & MEDICAL CTR, 50 MALL RD. G03, BURLINGTON, MA 01805-0001
(855) 934-4488
(781) 744-5636
Mailing address
LAHEY HOSPITAL & MEDICAL CENTER, 50 MALL ROAD., SUITE G03, BURLINGTON, MA 01803-4529
(781) 744-8000
(781) 744-5636
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
244277
MA
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
244277
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110086900A
—
MA
Enumeration date
05/26/2008
Last updated
01/26/2018
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