Healthcare Provider Details

I. General information

NPI: 1902990435
Provider Name (Legal Business Name): ANDREA BERTRAM MCKEE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 01/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LAHEY CLINIC 41 MALL ROAD
BURLINGTON MA
01805-0001
US

IV. Provider business mailing address

5 MERRILL ST
AMESBURY MA
01913-4306
US

V. Phone/Fax

Practice location:
  • Phone: 603-663-1800
  • Fax: 603-668-4303
Mailing address:
  • Phone: 978-388-6618
  • Fax: 978-388-5528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number11200
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: