Provider Demographics
NPI:1841381977
Name:COMPAINE, ANDREW GUY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:GUY
Last Name:COMPAINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 228
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:MA
Mailing Address - Zip Code:02493-0001
Mailing Address - Country:US
Mailing Address - Phone:617-755-7194
Mailing Address - Fax:781-736-0010
Practice Address - Street 1:24 CARROLL CIR
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:MA
Practice Address - Zip Code:02493-2029
Practice Address - Country:US
Practice Address - Phone:617-755-7194
Practice Address - Fax:781-736-0010
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA566672084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ08276Medicare ID - Type Unspecified
088549Medicare UPIN