Basic Information
Provider Information
NPI: 1639582638
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FIGUEROA
FirstName: ANDREW
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2608 KEISER BLVD
Address2:  
City: WYOMISSING
State: PA
PostalCode: 196103333
CountryCode: US
TelephoneNumber: 6106855864
FaxNumber: 6109291528
Practice Location
Address1: 2608 KEISER BLVD
Address2:  
City: WYOMISSING
State: PA
PostalCode: 196103333
CountryCode: US
TelephoneNumber: 6106855864
FaxNumber: 6109291528
Other Information
ProviderEnumerationDate: 06/06/2014
LastUpdateDate: 02/10/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/10/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200XMD472153PAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001XMD472153PAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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