Individual
ANDREA R RIZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
490 BOSTON POST RD, SUITE 203, SUDBURY, MA 01776-3367
(978) 443-6086
(978) 287-7856
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56243
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1211382
—
MA
Enumeration date
10/28/2005
Last updated
05/26/2011
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