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Individual

PETER J ANDREWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
540 PIERCE ST, KINGSTON, PA 18704-5751
(570) 287-2700
(570) 287-1570
Mailing address
540 PIERCE ST, KINGSTON, PA 18704-5751
(570) 287-2700
(570) 287-1570

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD036764E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012841500004
PA
01
158005
HEALTH AMERICA
PA
01
16458
GEISINGER HEALTH PLAN
PA
01
2793627
AETNA
PA
01
814560
FIRST PRIORITY HEALTH
01
AN701080
HIGHMARK BLUE SHIELD
PA
01
F08781
STERLING OPTION 1
PA
Enumeration date
05/04/2006
Last updated
04/22/2008
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