Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 35056479 | OH |
NPI | 1255328845 |
---|---|
Provider Name | Dr. Stephen J Andrews |
First Address | Akron, OH 44304-1468 |
Second Address | Akron, OH 44304-1468 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2005 |
Last Update Date | 11/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0882138 | MEDICARE ID (01) | OH |
2134176 | (05) | OH |
AN0882131 | MEDICARE ID (01) | OH |
E44220 | (02) |