Connor Andrew Emdin
Student in an Organized Health Care Education/Training Program in Boston, MA. Individual provider (NPI-1).
Details
- NPI
- 1346876232
- Entity type
- Individual (NPI-1)
- Name
- Connor Andrew Emdin
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2020
- Certification date
- Mar 23, 2020
- Last updated
- Mar 23, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
55 Fruit StBoston, MA 02114-2696
Phone 617-726-2000 · Fax 617-724-3947
Mailing address
6 Elm St Apt 2Brookline, MA 02445-7688
Phone 617-651-6715
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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