Individual
DR. ANDREA STRACCIOLINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
319 LONGWOOD AVE, BOSTON, MA 02115-5728
(617) 355-6028
(617) 731-5298
Mailing address
319 LONGWOOD AVE, BOSTON, MA 02115-5728
(617) 355-6028
(617) 731-5298
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
153377
MA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
153377
MA
2080S0010X
Pediatric Sports Medicine Physician
Primary
153377
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3193230
—
MA
Enumeration date
06/03/2006
Last updated
08/27/2015
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