MEDICARE: ANDREW NG M.D.

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
1	207L00000X	Anesthesiology Physician	MD442349	PA
2	207L00000X	Anesthesiology Physician	25MA09065800	NJ
3	207LP2900X	Pain Medicine (Anesthesiology) Physician	25MA09065800	NJ
4	207LP2900X	Pain Medicine (Anesthesiology) Physician	MD442349	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962667188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW NG M.D.

Provider Business Mailing Address
First Line	:	3 CRESCENT DR STE 100
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19112-1018
Country	:	US
Telephone Number	:	215-503-3300
Fax Number	:	215-503-3321

Provider Business Practice Location Address
First Line	:	3 CRESCENT DR STE 100
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19112-1018
Country	:	US
Telephone Number	:	215-503-3300
Fax Number	:	215-503-3321

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2008
Last Update Date	:	11/12/2018

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Directions to “ ANDREW NG M.D.” Practice Location

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