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Individual

MICHAEL P ANDRONICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
107 CEDAR GROVE LN, SUITE 103-G, SOMERSET, NJ 08873-4719
(732) 564-9500
(732) 564-9501
Mailing address
107 CEDAR GROVE LN, SUITE 103 G, SOMERSET, NJ 08873-4719
(732) 564-9500
(732) 564-9501

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00065500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1053566000
GROUP NPI
NJ
Enumeration date
05/22/2007
Last updated
02/18/2014
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