Provider Demographics
NPI:1205213402
Name:PARROTT, ANDREW MYLES (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:MYLES
Last Name:PARROTT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 ROCKLEDGE DR
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-1902
Mailing Address - Country:US
Mailing Address - Phone:201-993-8421
Mailing Address - Fax:973-992-6607
Practice Address - Street 1:50 ROCKLEDGE DR
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-1902
Practice Address - Country:US
Practice Address - Phone:973-992-5645
Practice Address - Fax:973-992-6607
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-27
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10972200207ZC0006X, 207ZH0000X
390200000X
NY296282-1207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program