Individual
DR. PATRICK ST. GEORGE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 IRVINGTON AVE, SOUTH ORANGE, NJ 07079-1904
(973) 762-7270
(973) 762-1980
Mailing address
120 IRVINGTON AVE, SOUTH ORANGE, NJ 07079-1904
(973) 762-7270
(973) 762-1980
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
25MA07363800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA07363800
MEDICAL LICENSES NUMBER
NJ
05
—
9003703
—
NJ
Enumeration date
06/19/2005
Last updated
05/17/2011
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