Individual
DR. ANDREW J SHANAHAN
Active
Individual
DR. ANDREW J SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
25MA06373200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0989950000
AMERIHEALTH
—
01
—
141188
GHI
—
01
—
1481871
UNITED HEALTHCARE
NJ
01
—
2905975012
CIGNA
—
01
—
60058075
MEDICARE RAILROAD
NJ
05
—
6956106
—
NJ
01
—
874621
AMERIHEALTH PPO
NJ
01
—
940913
AETNA
NJ
01
—
F10830
HEALTHNET
NJ
01
—
P711524
OXFORD
—
Enumeration date
06/09/2006
Last updated
09/12/2022
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