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Individual

MR. ALAN DAVID DANDREA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
44 BINNEY ST, DANA FARBER CANCER INSTITUTE, BOSTON, MA 02115-6084
(617) 632-2112
(617) 632-5757
Mailing address
24 CALUMET RD, WINCHESTER, MA 01890-3535
(781) 729-0898

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
56413
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
056413
TUFTS
01
23285
FALLON HEALTH PLAN
01
2927580
AETNA US HEALTHCARE
05
3063518
MA
01
4147276
CIGNA
01
7504070
UNITED HEALTH CARE
01
A59704DF
HPHC
Enumeration date
02/23/2006
Last updated
07/09/2007
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