Individual
ANDREW STAFFIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
596 BROADWAY, EVERETT, MA 02149-3743
(617) 387-3330
(617) 387-0827
Mailing address
596 BROADWAY, EVERETT, MA 02149-3743
(617) 387-3330
(617) 387-0827
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
237174-NP
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0321435
—
MA
01
—
NP3518
BCBSMA
MA
Enumeration date
07/21/2005
Last updated
12/01/2010
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