Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN A ANDERSON, MD
ActiveJOHN A ANDERSON, MD is a Family Medicine healthcare provider located in PORT EWEN, New York. NPI 1114972338 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PORT EWEN, NY
Registration Details
- NPI Number
- 1114972338
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2006 (20.042420475334 yrs)
- Last Updated
- Nov 11, 2014
- License
-
153823 (NY)
Practice Information
- Address
-
213 BROADWAYPORT EWEN, NY, 124667769Browse NY providers · Browse ZIP 12466
- Phone
- 8453312355
- Fax
- 8453311184
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.