Individual
ANDREW WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160 E HANOVER AVE, MORRISTOWN, NJ 07960-3150
(973) 538-2334
(973) 829-9174
Mailing address
PO BOX 1446, MORRISTOWN, NJ 07962-1446
(973) 538-2334
(973) 829-9174
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07774400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073822
AETNA PPO#
NJ
05
—
0073822
—
NJ
01
—
0514943
AETNA HMO#
NJ
01
—
0796671000
AMERIHEALTH #
NJ
01
—
5713656
GHI PPO #
NJ
01
—
G20272
AMERIHEALTH ADM #
NJ
01
—
IS454
OXFORD #
NJ
Enumeration date
09/27/2006
Last updated
01/18/2008
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