Individual
CHRISTINE H ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
152281
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300326
UNITED HEALTHCARE
MA
01
—
152281
TUFTS
MA
01
—
33475
FALLON
MA
01
—
401021
HARVARD
MA
01
—
J18485
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
07/18/2006
Last updated
07/08/2007
Update your record
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