Individual
MICHAEL J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
51 PERFORMANCE DR, SUITE 110, WEYMOUTH, MA 02189-3141
(781) 340-0735
(781) 331-6355
Mailing address
10 WILLARD ST, QUINCY, MA 02169-1281
(617) 479-1452
(617) 479-3500
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
53192
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3063178
—
MA
01
—
4144821
CIGNA
MA
01
—
501499
AETNA US HEALTH
MA
01
—
715870
TUFTS HEALTH CARE
MA
01
—
J09389
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/11/2005
Last updated
01/21/2014
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