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Individual

DR. ANDREW T DYSANGCO

Active
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Individual

DR. ANDREW T DYSANGCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01074041A
IN
207RI0200X
Infectious Disease Physician
Primary
01074041A
IN
390200000X
Student in an Organized Health Care Education/Training Program
000000000000000
NULL

Other

Enumeration date
08/22/2011
Last updated
07/14/2016
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