Andrew E Nullman Md Pa | |
1190 Nw 95th St Ste 412 Miami FL 33150-2067 | |
(305) 534-4404 | |
(305) 691-4449 |
Full Name | Andrew E Nullman Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 1190 Nw 95th St Ste 412, Miami, Florida |
Authorized Official Name and Position | Andrew E Nullman (OWNER) |
Authorized Official Contact | 3055344404 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Andrew E Nullman Md Pa 1190 Nw 95th St Ste 412 Miami FL 33150-2067 Ph: (305) 534-4404 | Andrew E Nullman Md Pa 1190 Nw 95th St Ste 412 Miami FL 33150-2067 Ph: (305) 534-4404 |
NPI Number | 1457459489 |
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Provider Enumeration Date | 09/21/2006 |
Last Update Date | 11/09/2021 |
Medicare PECOS PAC ID | 1951406826 |
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Medicare Enrollment ID | O20070421000009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457459489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Andrew E Nullman |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1912939208 PECOS PAC ID: 8224921325 Enrollment ID: I20040203000963 |
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