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Individual

MR. RICHARD S ANDRASCIK

Active
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Individual

MR. RICHARD S ANDRASCIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003405L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119933310002
—
PA
01
—
435919QYH
HIGHMARK
PA
01
—
4572646
AETNA
PA
01
—
650024521
RAILROAD MEDICARE
PA
01
—
CK4547
MEDICARE RAILROAD
PA
Enumeration date
09/12/2005
Last updated
11/23/2009
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