Reid, Andrea Ewing

Reid, Andrea Ewing is an individual health care provider with primary practice located at 55 Fruit Street Blk 4 Gastroenterology Associates, Boston MA 02114-2696. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Reid, Andrea Ewing can be contacted via phone (617) 726-2026.

Contact Information

Primary practice address
55 Fruit Street Blk 4 Gastroenterology Associates Boston MA 02114-2696
Fax: (617) 724-5996
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 73008 Massachusetts

Profile Details

NPI number 1922016906
LBN Legal business name Reid, Andrea Ewing
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jul 8th, 2007 - about 18 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 1922016906 NPPES
Massachusetts Other 073008 TUFTS HEALTH PLAN
Massachusetts Other J09971 TUFTS HEALTH PLAN
Massachusetts MEDICAID 3064042 TUFTS HEALTH PLAN

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