Individual
ANDRE DESOUZA POTENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MASSACHUSETTS EYE & EAR INFIRMARY, 243 CHARLES STREET, BOSTON, MA 02114
(617) 573-3939
Mailing address
MASSACHUSETTS EYE & EAR INFIRMARY, 243 CHARLES STREET, BOSTON, MA 02114
(617) 573-3939
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
L-244108
MA
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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