Individual
EDSON DE SOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1434
Mailing address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MA
Other
Enumeration date
04/02/2026
Last updated
04/08/2026
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