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Individual

ANDY TU DO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
500 GENEVA AVE, DORCHESTER, MA 02122-1321
(617) 514-5528
Mailing address
500 GENEVA AVE, DORCHESTER, MA 02122-1321
(617) 514-5528

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH234467
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0
N/A
MA
Enumeration date
10/31/2022
Last updated
10/31/2022
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