Individual
ANDREW D SIDEROWF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 2 RAVDIN BUILDING, PHILADELPHIA, PA 19104
(215) 662-3606
Mailing address
3400 SPRUCE ST, 2 RAVDIN BUILDING, PHILADELPHIA, PA 19104-4206
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD054220L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016926270001
—
PA
Enumeration date
07/07/2006
Last updated
04/19/2011
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