Zangaladze, Andro T.

Zangaladze, Andro T. is an individual health care provider with primary practice located at 200 Bowman Dr Suite E385, Voorhees NJ 08043-9623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Zangaladze, Andro T. can be contacted via phone (856) 247-7770.

Contact Information

Primary practice address
200 Bowman Dr Suite E385 Voorhees NJ 08043-9623
Phone: (856) 247-7770
Fax: (856) 247-7766
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD418139 Pennsylvania

Profile Details

NPI number 1255358602
LBN Legal business name Zangaladze, Andro T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Feb 11th, 2020 - about 4 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 1255358602 NPPES
Pennsylvania MEDICAID 001958087
Pennsylvania MEDICAID 0005380

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