Individual
ANDREA GAYLE-BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
300 LONGWOOD AVE, CHILDREN'S HOSPITAL, BOSTON, MA 02115-5724
(617) 355-7953
Mailing address
27 SAVOY ST, FLOOR, LYNN, MA 01904-2119
(781) 581-2232
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
480
MA
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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