Healthcare Provider Details

I. General information

NPI: 1205802394
Provider Name (Legal Business Name): ANDERSON & ASSOCIATES HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 06/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6492 LANDOVER RD SUITE C
CHEVERLY MD
20785-1451
US

IV. Provider business mailing address

6492 LANDOVER RD SUITE C
CHEVERLY MD
20785-1451
US

V. Phone/Fax

Practice location:
  • Phone: 301-322-1400
  • Fax: 301-322-7446
Mailing address:
  • Phone: 301-322-1400
  • Fax: 301-322-7446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License NumberD0019459
License Number StateMD

VIII. Authorized Official

Name: MR. ANDY A SAWYER SR.
Title or Position: DIRECTOR
Credential:
Phone: 301-802-4250