Individual
DR. JOHN FREDERICK ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2000
Mailing address
PO BOX 30797, HARTFORD, CT 06150-0797
(631) 547-6392
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
234530
NY
207RP1001X
Pulmonary Disease Physician
234530
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02632511
—
NY
Enumeration date
03/21/2006
Last updated
06/17/2008
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