Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | G52230 | CA |
NPI | 1366400384 |
---|---|
Provider Name | Dr. Andrew Cherner Engler |
First Address | San Mateo, CA 94401-3915 |
Second Address | San Mateo, CA 94401-3915 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 19/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A52206 | (02) | CA |
G52230 | MD LICENSE (01) | CA |
ZZZ05345Z | MEDICARE PTAN# (01) |