Individual
ANDETTA ROTILLA HUNSAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 FRANCIS ST, RADIOLOGY, BRIGHAM & WOMENS HOSPITAL, BOSTON, MA 02115-6110
(617) 732-6285
Mailing address
75 FRANCIS ST, RADIOLOGY, BRIGHAM & WOMENS HOSPITAL, BOSTON, MA 02115-6110
(617) 732-6285
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
77773
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3117766
—
MA
01
—
737689
TUFTS HEALTH CARE
MA
01
—
J30195
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
12/27/2005
Last updated
09/11/2012
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