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Individual

DR. ANDREW EDWARD HICKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
445 S PLEASANT AVE, DALLASTOWN, PA 17313-2111
(717) 244-8627
Mailing address
445 S PLEASANT AVE, DALLASTOWN, PA 17313-2111
(717) 244-8627

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD01305E
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD01305E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000641857
PA
01
12739
JOHNS HOPKINS
PA
01
191576
HIGHMARK BLUE SHIELD
PA
01
20005817
AMERIHEALTH MERCY-WMG
PA
01
5336310
AETNA
PA
01
76586
GEISINGER
PA
01
998048
UPMC
PA
01
P004692
GATEWAY-WMG
PA
Enumeration date
07/01/2006
Last updated
01/20/2015
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