Stracciolini, Andrea

Stracciolini, Andrea is an sole proprietor health care provider with primary practice located at 319 Longwood Ave , Boston MA 02115-5728. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Stracciolini, Andrea can be contacted via phone (617) 355-6028.

Contact Information

Primary practice address
319 Longwood Ave Boston MA 02115-5728
Phone: (617) 355-6028
Fax: (617) 731-5298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 153377 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 153377 Massachusetts
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 153377 Massachusetts

Profile Details

NPI number 1982642559
LBN Legal business name Stracciolini, Andrea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2006
Last updated Aug 27th, 2015 - about 11 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 1982642559 NPPES
Massachusetts MEDICAID 3193230

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