Provider Demographics
NPI:1528116183
Name:DWYER, ANDREW ALOIS (RN, NP)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:ALOIS
Last Name:DWYER
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Gender:M
Credentials:RN, NP
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Mailing Address - Street 1:55 FRUIT ST
Mailing Address - Street 2:MGH REPRO ENDO BHX5
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2621
Mailing Address - Country:US
Mailing Address - Phone:617-726-8622
Mailing Address - Fax:617-726-5357
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:MGH REPRO ENDO BHX5
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-726-8622
Practice Address - Fax:617-726-5357
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA233840363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner