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Individual

ANDREW D. KLUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3120 HIGHLAND RD, HERMITAGE, PA 16148-4512
(724) 342-2663
(724) 342-8988
Mailing address
3120 HIGHLAND RD, HERMITAGE, PA 16148-4512
(724) 342-2663
(724) 342-8988

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA053135
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001997912
HIGHMARK BLUE SHIELD
PA
01
MA053135
MEDICAL LICENSE
PA
Enumeration date
09/13/2007
Last updated
02/10/2009
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