Healthcare Provider Details

I. General information

NPI: 1295828853
Provider Name (Legal Business Name): ANDREW B SATTEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 07/29/2022
Certification Date: 07/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BOWMAN DR STE E140
VOORHEES NJ
08043-9631
US

IV. Provider business mailing address

8 DEERFIELD TER
MOORESTOWN NJ
08057-2103
US

V. Phone/Fax

Practice location:
  • Phone: 856-983-4263
  • Fax: 856-983-9362
Mailing address:
  • Phone:
  • Fax: 856-355-0330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMA54646
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License NumberMA54646
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: