Individual
DR. ANDRE BARBISAN DE SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 KNEELAND ST RM 1248, BOSTON, MA 02111-1527
(617) 336-3467
Mailing address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1434
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DF11685
MA
Other
Enumeration date
08/19/2015
Last updated
05/19/2021
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