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SAMUEL JOSEPH ANDONIAN MD NPI 1326065384


NPI Information

NPI: 1326065384
Provider Name: SAMUEL JOSEPH ANDONIAN, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
16 CLARKE ST
LEXINGTON, MA
ZIP 02421
Phone: (781) 862-3218
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Samuel Joseph Andonian, MD is a pediatrics in Lexington, MA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Samuel Joseph Andonian, MD NPI is 1326065384. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16 CLARKE ST
LEXINGTON, MA
ZIP 02421-948
Phone: (781) 862-3218
Fax: (781) 862-0805

The enumeration date for this NPI number is 7/16/2006 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics37648MASSACHUSETTSYes
22080A0000XPediatricsAdolescent Medicine37648MASSACHUSETTSX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D28132OTHERMASSACHUSETTSBSBS 20465 MASS
22025698MEDICAIDMASSACHUSETTS
3037648OTHERMASSACHUSETTSTUFTS
4D88234MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.