Individual
ANDRES A EBOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
850 HARRISON AVE, BOSTON, MA 02118-4001
(617) 414-4238
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
252214
MA
Other
Enumeration date
06/16/2009
Last updated
07/14/2014
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