Individual provider · Type 1 NPI

Andrew Walter Douglas, RPA-C

Surgical Physician Assistant · Bronx, NY

NPI number 1649335274 Active

Practice location

3rd Ave And 183rd Str
Bronx, NY 10457-2594

Call (718) 960-9000 Map

Mailing address

304 W 148th St, Apt 2A
New York, NY 10039-2915

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X011617 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1649335274

Andrew Walter Douglas, RPA-C's National Provider Identifier is 1649335274, issued on Dec 26, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bronx, NY. The record was last updated on Jul 8, 2007.