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NPI Code Detail

MEDICARE: ANDREW T TURRISI III MD

MEDICARE: ANDREW T TURRISI III MD
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
12085R0001XRadiation Oncology Physician4301054032MI
22085R0001XRadiation Oncology PhysicianMD023476EPA

General Provider Information

NPI Number : 1013954007
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW T TURRISI III MD
Provider Business Mailing Address
First Line : PO BOX 515490
Second Line :
City : LOS ANGELES
State : CA
Zip : 90051-6790
Country : US
Telephone Number : 800-331-9294
Fax Number : 812-471-9282
Provider Business Practice Location Address
First Line : 190 WELLES ST
Second Line :
City : FORTY FORT
State : PA
Zip : 18704-4968
Country : US
Telephone Number : 570-714-8686
Fax Number : 570-714-8666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 01/14/2016

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