Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD EARL ANDERSON JR.
Active Sole ProprietorCommunity Health Worker · HYDE PARK, MA
Registration Details
- NPI Number
- 1538775309
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 17, 2020 (5.5947014773011 yrs)
- Last Updated
- Sep 17, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
64 POYDRAS STHYDE PARK, MA, 021366419Browse MA providers · Browse ZIP 02136
- Phone
- 6176371478
- Primary Specialty
-
Community Health Worker
172V00000X
- Additional Specialty
- Health Educator
- Additional Specialty
- Peer Specialist
- Additional Specialty
- Community Health Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.