Edward Earl Anderson Jr.
Community Health Worker in Hyde Park, MA. Individual provider (NPI-1).
NPI number1538775309
StatusActive
Last updated in NPPESSep 17, 2020
Details
- NPI
- 1538775309
- Entity type
- Individual (NPI-1)
- Name
- Edward Earl Anderson Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 17, 2020
- Certification date
- Sep 17, 2020
- Last updated
- Sep 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 174H00000X | Health Educator | – | – | |
| 175T00000X | Peer Specialist | – | – |
Practice location
64 Poydras StHyde Park, MA 02136-6419
Phone 617-637-1478
Mailing address
64 Poydras StHyde Park, MA 02136-6419
Phone 617-637-1478
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