Organization
JOHN M. ANDERSEN M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEANNE ANDERSEN (OFFICE MANAGER)
(610) 718-0165
Entity
Organization
Contact information
Practice address
933 N CHARLOTTE ST, SUITE 3-A, POTTSTOWN, PA 19464-3974
(610) 323-9052
(610) 323-3085
Mailing address
933 N CHARLOTTE ST, SUITE 3-A, POTTSTOWN, PA 19464-3974
(610) 323-9052
(610) 323-3085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD039149E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011067390001
—
PA
Enumeration date
07/13/2011
Last updated
07/13/2011
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