| Patrick J Mcandrew Pc | |
|
111 Main St Vandling PA 18421-1711 | |
| (570) 785-3194 | |
| (570) 785-9775 |
| Full Name | Patrick J Mcandrew Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 111 Main St, Vandling, Pennsylvania |
| Authorized Official Name and Position | Matthew Curtis Haley (PRESIDENT) |
| Authorized Official Contact | 5707853194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick J Mcandrew Pc 111 Main St Vandling PA 18421-1711 Ph: (570) 785-3194 | Patrick J Mcandrew Pc 111 Main St Vandling PA 18421-1711 Ph: (570) 785-3194 |
| NPI Number | 1578621322 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 11/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578621322 | NPI | - | NPPES |
| 00686447 | Medicaid | PA | |
| 002912 | Other | PA | FIRST PRIORITY |
| 01703829 | Medicaid | PA | |
| 51793 | Other | PA | GEISINGER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 05002860L (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | 05009640L (Pennsylvania) | Primary |
Patrick J Mcandrew, D.o. Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Main St, Vandling, PA 18421 Phone: 570-785-3194 Fax: 570-785-9775 |