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Individual
DR. ANDRE H VANDERZANDEN
Active
Individual
DR. ANDRE H VANDERZANDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5196
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000525
—
NH
01
—
20114Y
ANTHEM PROVIDER #
NH
01
—
7114333
AETNA PROVIDER #
NH
01
—
8882667-001
CIGNA
NH
01
—
NH1043
HARVARD PILGRAM PROVIDER
NH
Enumeration date
04/27/2006
Last updated
07/09/2007
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