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Contact Information

JOHN M ANDERSEN, MD
933 N CHARLOTTE STREET
3-A
EXPORT, PA19464-3974
 Phone: 610-323-9052
 Fax: 610-323-3085
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JOHN M ANDERSEN · (Male)

NPI Number 1891801981
Status Active
Credentials MD
Entity Individual
Enumeration date 08/22/2006
Last updated 10/17/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # MD 039149E
  • PA Medicaid 0011067390001
  • Other 232925465 BERKSHIRE HEALTH PLANS
  • Other 000506727 BLUE CROSS BLUE SHIELD
  • Other 232925465 BLUE CROSS OF DE
  • Other 000506727 CAPITAL BLUE CROSS
  • Other 232925465 COVENTRY HEALTHCARE OF DE
  • Other 000506727 HIGHMARK BLUE CROSS
  • Other 000506727 INDEPENDENCE BLUE CROSS
  • Other 1025953 KEYSTONEMERCY HEALTH PLAN
  • PA Other 018149 AETNA HMO
  • PA Other 0109636001 KHPE/IBC
Hospital affiliation(s)
  • POTTSTOWN MEMORIAL MEDICAL CENTER - (Acute Care)
    1600 EAST HIGH STREET AND ARMAND HAMMER BLVD
    POTTSTOWN, PA 19464
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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