ANDREW WALTER DOUGLAS

BRONX, NY
NPI1649335274
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  011617)
Enumeration Date2006-12-26
Last Update Date2007-07-08
Business Address
Mr. ANDREW WALTER DOUGLAS RPA-C
3RD AVE AND 183RD STR
BRONX, NY 10457-2594
Phone number: 718-960-9000
Mailing Address
Mr. ANDREW WALTER DOUGLAS RPA-C
304 W 148TH ST APT 2A
NEW YORK, NY 10039-2915
Phone number: 570-660-7085
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