Healthcare Provider Details

I. General information

NPI: 1861827271
Provider Name (Legal Business Name): ANDREA MARCH PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2013
Last Update Date: 04/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 ROUTE 109
CAPE MAY NJ
08204-5259
US

IV. Provider business mailing address

900 ROUTE 109
CAPE MAY NJ
08204-5259
US

V. Phone/Fax

Practice location:
  • Phone: 609-884-4357
  • Fax: 609-884-4377
Mailing address:
  • Phone: 609-884-4357
  • Fax: 609-884-4377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9109315
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number25MP00325300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: