Provider Demographics
NPI:1164860565
Name:OPREA, ANDA
Entity Type:Individual
Prefix:MISS
First Name:ANDA
Middle Name:
Last Name:OPREA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 MONTGOMERY AVE APT 1B
Mailing Address - Street 2:
Mailing Address - City:HAVERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19041-1849
Mailing Address - Country:US
Mailing Address - Phone:267-229-3262
Mailing Address - Fax:
Practice Address - Street 1:237 MONTGOMERY AVE APT 1B
Practice Address - Street 2:
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19041-1849
Practice Address - Country:US
Practice Address - Phone:267-229-3262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-06
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS017831207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty