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Individual

DR. ANDREW WAYNE LITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7733 HANSEN RD NE, BAINBRIDGE ISLAND, WA 98110-1614
(917) 613-4536
Mailing address
7733 HANSEN RD NE, BAINBRIDGE ISLAND, WA 98110-1614

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
159319
NY
2085R0202X
Diagnostic Radiology Physician
Primary
159319
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01707097
NY
Enumeration date
04/17/2006
Last updated
07/09/2020
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