Male or Other

Dr. Andrew L. Warshaw MD

Full Name

Dr. Andrew Louis Warshaw MD

NPI Number

1457342800

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/03/2005

Specialties

(Taxonomies)

Code

208600000X
2086S0102X

Primary Taxonomy

No
No

Licenses

State

Massachusetts

License Number

28407

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 9142
55 FRUIT ST

City

Charlestown
Boston

State

MA
MA

Postal Code

02129-9142
02114-2621

Country

US
US

Telephone Number

(617) 724-0287
(617) 726-8254

Identifiers

Identifier

2007428
706467
B14047

Identifier State

MA
MA
MA

Identifier Issuer

Unknown
TUFTS HEALTH PLAN
BCBS MA

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address