Provider Demographics
NPI:1285637686
Name:OH, ANDREW JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:JOSEPH
Last Name:OH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1165 IMPERIAL DR
Mailing Address - Street 2:STE 300
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-6556
Mailing Address - Country:US
Mailing Address - Phone:301-665-9098
Mailing Address - Fax:301-665-9096
Practice Address - Street 1:1165 IMPERIAL DR
Practice Address - Street 2:STE 300
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-6556
Practice Address - Country:US
Practice Address - Phone:301-665-9098
Practice Address - Fax:301-665-9096
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2023-11-29
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Provider Licenses
StateLicense IDTaxonomies
MDD0054575207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD388500300Medicaid
MDH00329Medicare UPIN
MD388500300Medicaid