Individual
DR. ANDREW L DOE
Active
Individual
DR. ANDREW L DOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
242976
NY
2085R0202X
Diagnostic Radiology Physician
25MA08382500
NJ
2085R0204X
Vascular & Interventional Radiology Physician
25MA08382500
NJ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
P2230
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309705701
—
TX
Enumeration date
02/07/2007
Last updated
02/04/2016
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