ANDRE DE SOUZA LICHT

BOSTON, MA
NPI1881467421
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-11-06
Last Update Date2023-11-06
Business Address
ANDRE DE SOUZA LICHT PA-C
36 1ST AVE
BOSTON, MA 02129-4557
Phone number: 617-726-2947
Mailing Address
ANDRE DE SOUZA LICHT PA-C
36 1ST AVE
BOSTON, MA 02129-4557
Phone number: 617-726-2947
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