Individual
PHILIP MCANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
148 W RIVER ST, SUITE 3, PROVIDENCE, RI 02904-2615
(401) 421-6306
(401) 453-0330
Mailing address
148 W RIVER ST, SUITE 3, PROVIDENCE, RI 02904-2615
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
10870
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7009568
—
RI
Enumeration date
11/13/2006
Last updated
07/08/2007
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