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General NPI Number Information
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NPI Number | 1376710004
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Entity Type | Organization
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Legal Business Name | ANDRON MEDICAL ASSOCIATES, PA
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Dates
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Enumeration Date | 05/12/2008
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 154 ENGLE ST
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2507
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Country | US
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Telephone | 201-871-1515
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Fax | 201-871-9683
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Provider Business Mailing Address
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Address Line | 154 ENGLE ST
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2507
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Country | US
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Telephone | 201-871-1515
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Fax | 201-871-9683
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD ISREAL ANDRON
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Credential | M.D., F.A.C.R.
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Telephone | 201-871-1515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 59298
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License Number State | NJ
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