Individual
ANDREA C MAGNO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-2381
(617) 789-2735
Mailing address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-2381
(617) 789-2735
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
42969
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149357
—
MA
Enumeration date
09/23/2005
Last updated
07/08/2007
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