# PATRICK J MCANDREW, D.O. PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417139213
- **Authorized official:** DR. PATRICK J MCANDREW D.O. (PRESIDENT)
- **Authorized official phone:** (570) 785-3194

## Contact information

- **Practice address:** 111 MAIN ST, VANDLING, PA 18421-1711
- **Practice address phone:** (570) 785-3194
- **Practice address fax:** (570) 785-9775
- **Mailing address:** 111 MAIN ST, VANDLING, PA 18421-1711
- **Mailing address phone:** (570) 785-3194
- **Mailing address fax:** (570) 785-9775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | OS002860L | PA | Yes |

## Other

- **Enumeration date:** 12/04/2007
- **Last updated:** 12/12/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 002912 | FIRST PRIORITY | PA |
| 05 | — | 00686447 | — | PA |
| 01 | — | 147451 | HIGHMARK BLUE SHIELD | PA |
| 01 | — | 51793 | GEISINGER | PA |