Provider Demographics
NPI:1942281258
Name:DERAPPE, ANDREE P (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREE
Middle Name:P
Last Name:DERAPPE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:400 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-5889
Mailing Address - Country:US
Mailing Address - Phone:508-875-1600
Mailing Address - Fax:508-875-1297
Practice Address - Street 1:115 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-6358
Practice Address - Country:US
Practice Address - Phone:508-875-1600
Practice Address - Fax:508-875-1297
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA35767207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2000005OtherUNITED HEALTHCARE
MA82971OtherAETNA US HEALTHCARE
MAM08473DEOtherBLUE CROSS/SHIELD MA
MA613824OtherHARVARD PILGRIM HEALTHCAR
MA2032155Medicaid
MA5586023OtherAETNA
MA717227OtherTUFTS HEALTH PLAN
MA2000005OtherUNITED HEALTHCARE
MAM08473DEMedicare ID - Type UnspecifiedMEDICARE