Individual
ANDREA L VIANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
719 PROVIDENCE HWY, DEDHAM, MA 02026-6832
(781) 461-6767
Mailing address
719 PROVIDENCE HWY, DEDHAM, MA 02026-6832
(781) 461-6767
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
212532
NY
208000000X
Pediatrics Physician
Primary
216474
MA
208000000X
Pediatrics Physician
MD21214
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01858699
—
NY
05
—
78770254
—
CO
Enumeration date
11/02/2006
Last updated
02/12/2026
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