Individual
ANDREW BISHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 DANA ST, CAMBRIDGE, MA 02138-5405
(419) 266-4764
Mailing address
3 DANA ST, CAMBRIDGE, MA 02138-5405
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A141372
CA
390200000X
Student in an Organized Health Care Education/Training Program
260309
MA
Other
Enumeration date
06/18/2014
Last updated
09/11/2018
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