Individual
ANDREA ANTOINETTE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2150 PENNSYLVANIA AVE NW STE 450, WASHINGTON, DC 20037-3201
(202) 741-2261
(202) 741-2921
Mailing address
1101 15TH ST NW, WASHINGTON, DC 20005-5002
(202) 798-0100
(202) 379-3570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD035013
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024905300
—
DC
Enumeration date
02/05/2007
Last updated
06/30/2021
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