Dr. Andre Barbisan De Souza
Prosthodontist
1 Kneeland St Rm 1248
Boston
, Massachusetts 02111-1527
Dr. Andre Barbisan De Souza
Prosthodontist
1 Kneeland St Rm 1248
Boston
, Massachusetts 02111-1527
(617) 432-1434
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Andre Barbisan De Souza
- 188 Longwood Ave
- Boston, MA
- Zip : 02115-5819
- Phone : (617) 432-1434
Second Address
- Dr. Andre Barbisan De Souza
- 1 Kneeland St Rm 1248
- Boston, MA
- Zip : 02111-1527
- Phone : (617) 336-3467
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | DF11685 | MA |
National Provider Identifier
| NPI | 1114393634 |
|---|---|
| Provider Name | Dr. Andre Barbisan De Souza |
| First Address | Boston, MA 02115-5819 |
| Second Address | Boston, MA 02111-1527 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2015 |
| Last Update Date | 19/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.