Provider Demographics
NPI:1750136743
Name:COX, AVERY (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:AVERY
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:462 BEACON ST APT 52
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-1047
Mailing Address - Country:US
Mailing Address - Phone:215-272-3556
Mailing Address - Fax:
Practice Address - Street 1:330 BROOKLINE AVE # SHAPIRO8
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:215-272-3556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program