Organization
MICHAEL P. ANDRONICO, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P. ANDRONICO PH.D. (PSYCHOLOGIST)
(732) 564-9500
Entity
Organization
Contact information
Practice address
107 CEDAR GROVE LN, SUITE 103 G, SOMERSET, NJ 08873-4719
(732) 564-9500
(732) 564-9501
Mailing address
107 CEDAR GROVE LN, SUITE 103 G, SOMERSET, NJ 08873-4719
(732) 564-9500
(732) 564-9501
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100065500
NJ
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
35S100065500
NJ
Other
Enumeration date
11/18/2008
Last updated
02/26/2014
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