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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255358602 | NPPES |
| Pennsylvania | MEDICAID | 001958087 | |
| Pennsylvania | MEDICAID | 0005380 |
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