Provider Demographics
NPI:1003846817
Name:ANDERSEN, DONALD H (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:H
Last Name:ANDERSEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:915 OLD FERN HILL RD
Mailing Address - Street 2:BLDG., B SUITE 202
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4269
Mailing Address - Country:US
Mailing Address - Phone:610-692-4270
Mailing Address - Fax:610-692-2566
Practice Address - Street 1:915 OLD FERN HILL RD
Practice Address - Street 2:BLDG., B SUITE 202
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4269
Practice Address - Country:US
Practice Address - Phone:610-692-4270
Practice Address - Fax:610-692-2566
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2017-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD052880L208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAF86922Medicare UPIN