Individual
DR. JOHN ALAN ANDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
224D CORNWALL ST NW STE 301, LEESBURG, VA 20176-2704
(703) 777-1146
(703) 777-3144
Mailing address
224D CORNWALL ST NW STE 403, LEESBURG, VA 20176-2704
(703) 737-6001
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101036900
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05841739
—
VA
01
—
110204542
RR MEDICARE
—
Enumeration date
09/06/2005
Last updated
04/15/2020
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