Individual
MR. ANDRE R SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRACTITIONER
Contact information
Practice address
176 NEWBURY ST STE 31, BOSTON, MA 02116-2872
(617) 785-6837
Mailing address
176 NEWBURY ST STE 31, BOSTON, MA 02116-2872
(617) 785-6837
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
BAP-2020-00168
MA
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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