Individual
ANDREA J BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVE, SHAPIRO 9, BOSTON, MA 02215-5400
(617) 667-7000
Mailing address
330 BROOKLINE AVE, SHAPIRO 9, BOSTON, MA 02215-5400
(617) 667-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
230379
MA
Other
Enumeration date
11/16/2006
Last updated
12/17/2008
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