Provider Demographics
NPI:1750364915
Name:MARKARIAN, ANDRE B (MD)
Entity type:Individual
Prefix:DR
First Name:ANDRE
Middle Name:B
Last Name:MARKARIAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:85 HERRICK STREET
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915
Mailing Address - Country:US
Mailing Address - Phone:978-816-3700
Mailing Address - Fax:978-524-6028
Practice Address - Street 1:85 HERRICK STREET
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915
Practice Address - Country:US
Practice Address - Phone:978-816-3700
Practice Address - Fax:978-524-6028
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2020-05-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA203516207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0008333OtherNHP
J22518OtherBLUE CROSS BLUE SHIELD
50927OtherFALLON
MA3208788Medicaid
613214OtherHARVARD PILGRIM HEALTH CARE
000000021079OtherBMC HEALTHNET
203516OtherTUFTS
P00004830OtherRAILROAD MEDICARE
98736302OtherNETWORK HEALTH
613214OtherHARVARD PILGRIM HEALTH CARE