Basic Information
| Provider Information | |||||||||
| NPI: | 1144346966 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ENGEL | ||||||||
| FirstName: | ANDREA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 145 BEDFORD RD | ||||||||
| Address2: | |||||||||
| City: | GREENWICH | ||||||||
| State: | CT | ||||||||
| PostalCode: | 068312505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2036612330 | ||||||||
| FaxNumber: | 2036618825 | ||||||||
| Practice Location | |||||||||
| Address1: | 733 N BEERS ST | ||||||||
| Address2: | SUITE U4 | ||||||||
| City: | HOLMDEL | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077331528 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7327392757 | ||||||||
| FaxNumber: | 7327396722 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/22/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 25MA07270100 | NJ | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.