Individual
ANDREW LEDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 ALBANY STREET, SHAPIRO 7, SUITE B, BOSTON, MA 02118
(617) 638-8456
Mailing address
801 ALBANY STREET, FL GROUND, BOSTON, MA 02119
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
282861
MA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
282861
MA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD21261
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110162911A
—
MA
05
—
3123973
—
NH
Enumeration date
03/23/2012
Last updated
03/22/2021
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