Individual
ERIC M ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 HANCOCK ST, QUINCY, MA 02169-4339
(617) 774-0600
(617) 774-0211
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8053
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
224212
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035378
NEIGHBORHOOD HEALTH
MA
01
—
0743809
CIGNA
MA
05
—
2102226
—
MA
01
—
468252
TUFTS
MA
01
—
AA33986
HARVARD PILGRIM
MA
01
—
J28676
BLUE CROSS
MA
Enumeration date
12/20/2005
Last updated
10/21/2020
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