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NPI Code Detail

MEDICARE: ANDREW GEORGE BOSTON M.D.

MEDICARE: ANDREW GEORGE BOSTON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician01082456AIN
2207Y00000XOtolaryngology Physician28160NE
3207Y00000XOtolaryngology PhysicianD0098481MD

General Provider Information

NPI Number : 1831535285
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW GEORGE BOSTON M.D.
Provider Business Mailing Address
First Line : 1060 W PERIMETER RD DEPT OF
Second Line :
City : JB ANDREWS
State : MD
Zip : 20762-6602
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2415 MUSGROVE RD STE 203
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-5228
Country : US
Telephone Number : 301-989-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2013
Last Update Date : 04/02/2025

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