Provider Demographics
NPI:1093894420
Name:POPPER, ANDREW (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:POPPER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:93 UNION ST STE 401C
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-2254
Mailing Address - Country:US
Mailing Address - Phone:617-731-1035
Mailing Address - Fax:617-731-1031
Practice Address - Street 1:93 UNION ST STE 401C
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-2254
Practice Address - Country:US
Practice Address - Phone:617-731-1035
Practice Address - Fax:617-731-1031
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-05
Last Update Date:2023-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2348222084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry