Andrew Walter Douglas, RPA-C
Physician Assistant, Surgical in Bronx, NY. Individual provider (NPI-1).
NPI number1649335274
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1649335274
- Entity type
- Individual (NPI-1)
- Name
- Mr. Andrew Walter Douglas
- Credential
- RPA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 26, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 011617 | NY | Yes |
Practice location
3rd Ave And 183rd StrBronx, NY 10457-2594
Phone 718-960-9000
Mailing address
304 W 148th StApt 2a
New York, NY 10039-2915
Phone 570-660-7085
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All 120 Surgical Physician Assistant providers in Bronx · All 38,045 providers in Bronx
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