Individual
ANDREW B SEVERANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9701 VENTNOR AVE STE 201, MARGATE CITY, NJ 08402-2222
(609) 822-4242
(609) 822-3211
Mailing address
9701 VENTNOR AVE STE 201, MARGATE CITY, NJ 08402-2222
(609) 822-4242
(609) 822-3211
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00281100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222041639
TAX ID
NJ
Enumeration date
06/28/2006
Last updated
05/17/2024
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