Organization
PATRICK J MCANDREW, D.O. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK J MCANDREW D.O. (PRESIDENT)
(570) 785-3194
Entity
Organization
Contact information
Practice address
111 MAIN ST, VANDLING, PA 18421-1711
(570) 785-3194
(570) 785-9775
Mailing address
111 MAIN ST, VANDLING, PA 18421-1711
(570) 785-3194
(570) 785-9775
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS002860L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002912
FIRST PRIORITY
PA
05
—
00686447
—
PA
01
—
147451
HIGHMARK BLUE SHIELD
PA
01
—
51793
GEISINGER
PA
Enumeration date
12/04/2007
Last updated
12/12/2007
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