Individual
DR. ANDRE H VANDERZANDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 OLD ROLLINSFORD RD, DOVER, NH 03820-2827
(603) 742-4048
(603) 743-3345
Mailing address
1187 SALMON FALLS RD, ROCHESTER, NH 03868-5722
(603) 742-4048
(603) 743-3345
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5196
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000525
—
NH
01
—
20114Y
ANTHEM PROVIDER #
NH
01
—
7114333
AETNA PROVIDER #
NH
01
—
8882667-001
CIGNA
NH
01
—
NH1043
HARVARD PILGRAM PROVIDER
NH
Enumeration date
04/27/2006
Last updated
07/09/2007
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