Provider Demographics
NPI:1427031657
Name:ANDREWS, CHARLES F (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:F
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020A E BOAL AVE
Mailing Address - Street 2:
Mailing Address - City:BOALSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16827-1509
Mailing Address - Country:US
Mailing Address - Phone:814-237-8627
Mailing Address - Fax:814-238-0083
Practice Address - Street 1:CEDAR CREST AND I78
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6369
Practice Address - Country:US
Practice Address - Phone:610-402-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD027229E2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP400584OtherOXFORD
PA1029369OtherKEYSTONE MERCY
PA300018184OtherRAILROAD MEDICARE
PA0010894960008Medicaid
PA112063OtherMEDPLUS/THREE RIVERS
PA1177701OtherCAPITAL BC
PA85072000OtherKEYSTONE HEALTH PLAN EAST
PA1029369OtherAMERIHEALTH MERCY
PA1519157OtherGATEWAY HEALTH PLAN
PA15222OtherGEISINGER HEALTH PLAN
PA156847OtherBCBS PA
PA1519157OtherGATEWAY HEALTH PLAN
PAP400584OtherOXFORD