Provider Demographics
NPI:1528488269
Name:ANDERSON, ERIK STEVEN (MD PHD)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:STEVEN
Last Name:ANDERSON
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 BROOKLINE AVE # FNB-25
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5491
Mailing Address - Country:US
Mailing Address - Phone:617-667-2345
Mailing Address - Fax:617-667-4990
Practice Address - Street 1:330 BROOKLINE AVE # FNB-25
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5491
Practice Address - Country:US
Practice Address - Phone:617-667-2345
Practice Address - Fax:617-667-4990
Is Sole Proprietor?:No
Enumeration Date:2014-04-21
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2803652085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology