Individual
ANDERS MARK KNUTZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-0288
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-0288
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
291560
MA
2085R0202X
Diagnostic Radiology Physician
34477
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
447282900
—
MN
Enumeration date
01/09/2006
Last updated
04/21/2022
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