Individual
ANDREA I HAVASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 ALBANY STREET, SHAPIRO 7, SUITE A, BOSTON, MA 02118-2526
(617) 414-8601
(617) 414-8864
Mailing address
801 ALBANY STREET, FL GROUND, BOSTON, MA 02119
(617) 414-5405
(617) 414-6031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
234857
MA
207RN0300X
Nephrology Physician
Primary
234857
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110082108A
—
MA
Enumeration date
03/07/2008
Last updated
07/13/2020
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