Individual
DR. ANDY J MINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 CIVIC CENTER BLVD, TRC 2 WEST, PHILADELPHIA, PA 19104-5127
(215) 662-2428
Mailing address
3400 CIVIC CENTER BLVD, TRC 2 WEST, PHILADELPHIA, PA 19104-5127
(215) 662-2428
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
036113450
IL
2085R0001X
Radiation Oncology Physician
Primary
MD440774
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113450
—
IL
01
—
P00249117
UIC RRMC
IL
Enumeration date
04/10/2007
Last updated
09/02/2015
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