Individual
DR. ANDRO T. ZANGALADZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 BOWMAN DR, SUITE E385, VOORHEES, NJ 08043-9623
(856) 247-7770
(856) 247-7766
Mailing address
151 FRIES MILL RD STE 301, TURNERSVILLE, NJ 08012-2016
(856) 352-6660
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD418139
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005380
—
NJ
05
—
001958087
—
PA
Enumeration date
07/15/2006
Last updated
02/11/2020
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