Individual
ANDREW C. IP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
92 2ND ST, HACKENSACK, NJ 07601-2191
(551) 996-3033
(551) 996-0573
Mailing address
92 2ND ST, HACKENSACK, NJ 07601-2191
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
25MA10621100
NJ
207RX0202X
Medical Oncology Physician
Primary
25MA10621100
NJ
Other
Enumeration date
04/09/2012
Last updated
01/26/2022
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