Individual
ANDREW G VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8482
(781) 744-3443
Mailing address
LAHEY CLINIC, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8482
(781) 744-3443
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
49138
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3030083
—
MA
Enumeration date
09/17/2006
Last updated
11/11/2010
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