Andonian, Samuel Joseph

Andonian, Samuel Joseph is an individual health care provider with primary practice located at 16 Clarke St , Lexington MA 02421-4948. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Andonian, Samuel Joseph can be contacted via phone (781) 862-3218.

Contact Information

Primary practice address
16 Clarke St Lexington MA 02421-4948
Phone: (781) 862-3218
Fax: (781) 862-0805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 37648 Massachusetts
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 37648 Massachusetts

Profile Details

NPI number 1326065384
LBN Legal business name Andonian, Samuel Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326065384 NPPES
Massachusetts Other D28132 BSBS 20465 MASS
Massachusetts Other 037648 BSBS 20465 MASS
Massachusetts MEDICAID 2025698 BSBS 20465 MASS

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