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Individual

DR. ANDREAS D ROTSIDES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
195 US HIGHWAY 46, SUITE 200, MINE HILL, NJ 07803-3163
(973) 328-1040
(973) 328-1544
Mailing address
195 US HIGHWAY 46, SUITE 200, MINE HILL, NJ 07803-3163
(973) 328-1040
(973) 328-1544

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05010400
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
25MA05010400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00012211007
UNITED HEALTHCARE ID
NJ
01
0103161000
AMERIHEALTH PROVIDER ID
NJ
01
0858096
CIGNA PROVIDER ID
NJ
05
1147200
NJ
01
2K8102
HEALTHNET PROVIDER ID
NJ
01
494819
AETNA PROVIDER ID
NJ
01
P00197592
RAILROAD MEDICARE ID
NJ
01
P3617003
OXFORD PROVIDER ID
NJ
Enumeration date
04/16/2006
Last updated
02/15/2008
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