Organization
BOSTON UNIVERSITY MALLORY PATHOLOGY ASSOCIATES, INC.
Active
Other names
Faculty Practice Foundation Inc Boston Univ Mallory Pathology Assoc
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER D. ANDRY MPHIL, PHD (PRESIDENT)
(617) 414-5292
Entity
Organization
Contact information
Practice address
670 ALBANY ST, SUITE 304, BOSTON, MA 02118
(617) 414-4291
(617) 414-5315
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110071206B
—
MA
05
—
3090107
—
NH
Enumeration date
05/31/2006
Last updated
12/20/2023
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