Individual
DR. ANDREW EDWARD MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-5138
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
230487
NY
207R00000X
Internal Medicine Physician
A88838
CA
Other
Enumeration date
09/14/2006
Last updated
02/06/2023
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