Individual
SAMUEL JOSEPH ANDONIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16 CLARKE ST, LEXINGTON, MA 02421-4948
(781) 862-3218
(781) 862-0805
Mailing address
16 CLARKE ST, LEXINGTON, MA 02421-4948
(781) 862-3218
(781) 862-0805
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
37648
MA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
37648
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037648
TUFTS
MA
05
—
2025698
—
MA
01
—
D28132
BSBS 20465 MASS
MA
Enumeration date
07/16/2006
Last updated
09/11/2025
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