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NPI Code Detail

MEDICARE: DR. GARY ANDRUS AND ASSOCIATES, PC

MEDICARE: DR. GARY ANDRUS AND ASSOCIATES, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOEG001139PA

General Provider Information

NPI Number : 1275599425
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. GARY ANDRUS AND ASSOCIATES, PC
Provider Business Mailing Address
First Line : 160 N GULPH RD
Second Line : SUITE 2026
City : NORRISTOWN
State : PA
Zip : 19406-2937
Country : US
Telephone Number : 610-337-4055
Fax Number :
Provider Business Practice Location Address
First Line : 160 N GULPH RD
Second Line : SUITE 2026
City : NORRISTOWN
State : PA
Zip : 19406-2937
Country : US
Telephone Number : 610-337-4055
Fax Number :
Authorized Official
Title or Position : OWNER
Name : GARY ANDRUS
Credential : DO
Telephone Number : 610-337-4055
Provider Enumeration Date : 04/25/2006
Last Update Date : 08/22/2020

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