Dr. Patrick St. George Anderson
Gynecologic Oncologist
120 Irvington Ave
South Orange
, New Jersey 07079-1904
Dr. Patrick St. George Anderson
Gynecologic Oncologist
120 Irvington Ave
South Orange
, New Jersey 07079-1904
(973) 762-1980
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Dr. Patrick St. George Anderson
- 120 Irvington Ave
- South Orange, NJ
- Zip : 07079-1904
- Fax : (973) 762-1980
- Phone : (973) 762-7270
Second Address
- Dr. Patrick St. George Anderson
- 120 Irvington Ave
- South Orange, NJ
- Zip : 07079-1904
- Fax : (973) 762-1980
- Phone : (973) 762-7270
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | 25MA07363800 | NJ |
National Provider Identifier
| NPI | 1376548925 |
|---|---|
| Provider Name | Dr. Patrick St. George Anderson |
| First Address | South Orange, NJ 07079-1904 |
| Second Address | South Orange, NJ 07079-1904 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2005 |
| Last Update Date | 17/05/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 25MA07363800 | MEDICAL LICENSES NUMBER (01) | NJ |
| 9003703 | (05) | NJ |
| F27684 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.