Individual
ANDREW DONALD VAN DER VAART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
6501 N CHARLES ST, TOWSON, MD 21204-6819
(410) 938-5000
Mailing address
849 FAIRMOUNT AVE FL 5, TOWSON, MD 21286-2624
(443) 377-5273
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0094903
MD
Other
Enumeration date
03/28/2020
Last updated
07/15/2024
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