Individual
AUDREY K. CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
801 MASSACHUSETTS AVE., CROSSTOWN BLDG FL 7, BOSTON, MA 02118-4001
(617) 414-4841
Mailing address
BMC PROVIDER ENROLLMENT OFFICE, 960 MASSACHUSETTS AVE,.2ND FLOOR, BOSTON, MA 02119-2560
(617) 414-5405
(617) 414-6031
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
270622
MA
Other
Enumeration date
04/18/2014
Last updated
04/04/2024
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