Individual
ANDREW GLEN WOOLRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 EAST 80TH STREET, NEW YORK, NY 10021-0306
(212) 717-1684
(212) 717-0410
Mailing address
140 EAST 80TH STREET, NEW YORK, NY 10021-0306
(212) 717-1684
(212) 717-0410
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1836391
NY
207N00000X
Dermatology Physician
25MA06074900
NJ
207N00000X
Dermatology Physician
ME67211
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0516381
AETNA./USHC
NJ
01
—
0K1302
HEALTHNET
NJ
01
—
19795B
MAGNACARE
NJ
01
—
30664P
HIP
—
01
—
516381
AETNA
—
01
—
75H571
EMPIRE
—
01
—
NS3706
OX FORD
—
01
—
OC3537
HEALTHNET
—
01
—
P685488
OXFORD
NJ
Enumeration date
10/03/2006
Last updated
04/02/2008
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