Provider Demographics
NPI:1457505331
Name:PECORA, ANDREW ARHUR (DO)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:ARHUR
Last Name:PECORA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3205 FIRE ROAD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-5884
Mailing Address - Country:US
Mailing Address - Phone:609-407-1220
Mailing Address - Fax:609-407-0220
Practice Address - Street 1:3205 FIRE RD
Practice Address - Street 2:SUITE 3
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-5884
Practice Address - Country:US
Practice Address - Phone:609-407-1220
Practice Address - Fax:609-407-0220
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB02097500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine