Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD431091 | PA |
Y | 2080P0203X | Pediatric Critical Care Doctor | 25MA08935900 | NJ |
N | 2080P0203X | Pediatric Critical Care Doctor | MD431091 | PA |
NPI | 1174718035 |
---|---|
Provider Name | Dr. Andrew Duncan Mcinnes |
First Address | New Brunswick, NJ 08901-1766 |
Second Address | New Brunswick, NJ 08901-1766 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2007 |
Last Update Date | 18/08/2011 |