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Individual

DR. RICHARD ROX ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
50 STANIFORD ST, FLOOR #2, BOSTON, MA 02114-2517
(617) 726-6960
(617) 724-6970
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-6960
(617) 724-6970

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
76342
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
076342
TUFTS HEALTH PLAN
MA
05
3052052
MA
01
J08730
BCBS MA
MA
Enumeration date
11/22/2005
Last updated
12/20/2012
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