Individual
ANDREA OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 624-8000
Mailing address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA5353
MA
Other
Enumeration date
08/03/2015
Last updated
10/18/2020
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