Organization
ADRIAN VELASQUEZ MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN VELASQUEZ MD (OWNER)
(617) 816-0169
Entity
Organization
Contact information
Practice address
2110 DORCHESTER AVE STE 205, SETON BUILDING, DORCHESTER, MA 02124
(617) 816-0169
Mailing address
581 MASSACHUSETTS AVE APT 4, BOSTON, MA 02118-1479
(617) 816-0169
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110130458A
—
MA
Enumeration date
05/24/2019
Last updated
01/23/2020
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