Individual
MR. RICHARD ISRAEL ANDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 GRAND AVE STE 450, ENGLEWOOD, NJ 07631
(201) 871-1515
(201) 871-9683
Mailing address
106 GRAND AVE STE 450, ENGLEWOOD, NJ 07631-3596
(201) 871-1515
(201) 871-9683
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
130691
NY
207R00000X
Internal Medicine Physician
35880
NJ
207RR0500X
Rheumatology Physician
Primary
59298
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009397
ONE HEALTH PLAN GREAT WES
—
01
—
0494571001
AMERIHEALTH
—
01
—
11A79
EMPIRE BCBS
—
01
—
223516244
GREAT WEST
—
01
—
2976901
MEDICAID SECONDARY TO MED
NJ
01
—
4383535
AETNA PPO
—
01
—
5950399007
CIGNA PCP
—
01
—
5950399009
CIGNA SPEC
—
01
—
BP179
OXFORD
—
01
—
OK5421
HNET
—
Enumeration date
01/18/2006
Last updated
05/22/2018
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