Powell, Amanda G

Powell, Amanda G is an individual health care provider with primary practice located at Lahey Hospital & Medical Ctr 50 Mall Rd. G03, Burlington MA 01805-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Obesity Medicine is her primary health care specialty. Powell, Amanda G can be contacted via phone (855) 934-4488.

Contact Information

Primary practice address
Lahey Hospital & Medical Ctr 50 Mall Rd. G03 Burlington MA 01805-0001
Phone: (855) 934-4488
Fax: (781) 744-5636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 244277 Massachusetts
Allopathic & Osteopathic Physicians / Obesity Medicine 207RB0002X 244277 Massachusetts

Profile Details

NPI number 1043478241
LBN Legal business name Powell, Amanda G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2008
Last updated Jan 26th, 2018 - about 8 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 1043478241 NPPES
Massachusetts MEDICAID 110086900A

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