Provider Demographics
NPI:1407957137
Name:ANDREASON, PAUL JUDD (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:JUDD
Last Name:ANDREASON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3927 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-3934
Mailing Address - Country:US
Mailing Address - Phone:301-706-3239
Mailing Address - Fax:301-933-3181
Practice Address - Street 1:5411 W CEDAR LN
Practice Address - Street 2:SUITE 207A
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-1516
Practice Address - Country:US
Practice Address - Phone:301-706-3239
Practice Address - Fax:301-933-3181
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0420422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry