Individual
DR. ANDREW J SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
731 ALEXANDER ROAD, SUITE 202, PRINCETON, NJ 08540
(609) 921-7456
(609) 921-2972
Mailing address
731 ALEXANDER ROAD, SUITE 202, PRINCETON, NJ 08540
(609) 921-7456
(609) 921-2972
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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