Provider Demographics
NPI:1083935662
Name:BARON, ANDREW (AP)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:BARON
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 EVERNIA ST
Mailing Address - Street 2:1004
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-5678
Mailing Address - Country:US
Mailing Address - Phone:561-655-6061
Mailing Address - Fax:
Practice Address - Street 1:330 CLEMATIS ST
Practice Address - Street 2:104
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-4657
Practice Address - Country:US
Practice Address - Phone:561-247-1407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-17
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2835171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist