Andorsky, David Jacob

Andorsky, David Jacob is an individual health care provider with primary practice located at 4715 Arapahoe Ave , Boulder CO 80303-1385. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Andorsky, David Jacob can be contacted via phone (303) 385-2000.

Contact Information

Primary practice address
4715 Arapahoe Ave Boulder CO 80303-1385
Fax: (303) 444-1839
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X A90997 California
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 48556 Colorado

Profile Details

NPI number 1609061837
LBN Legal business name Andorsky, David Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2007
Last updated Feb 27th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609061837 NPPES
Colorado MEDICAID 99275261

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