Individual
ANDREW DAVID SO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
1117 ROUTE 46 STE 301, CLIFTON, NJ 07013-2450
(973) 777-5444
(973) 777-7622
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA10600200
NJ
Other
Enumeration date
03/18/2015
Last updated
10/04/2022
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