Individual
KEVIN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D, PH.D.
Contact information
Practice address
1 HAMPTON RD UNIT 208, EXETER, NH 03833-4849
(866) 484-3522
(603) 778-1602
Mailing address
330 BROOKLINE AVE, DEPARTMENT OF PATHOLOGY, BOSTON, MA 02215-5400
(617) 667-4344
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
18713
NH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
269567
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD22122
ME
390200000X
Student in an Organized Health Care Education/Training Program
256001
MA
Other
Enumeration date
05/22/2015
Last updated
06/11/2018
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