Provider Demographics
NPI:1508890104
Name:ANDREWS, WILLARD GUY III (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLARD
Middle Name:GUY
Last Name:ANDREWS
Suffix:III
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 1:1200 OLD YORK RD
Mailing Address - Street 2:ABINGTON CANCER CARE SPECIALISTS
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3720
Mailing Address - Country:US
Mailing Address - Phone:215-481-2400
Mailing Address - Fax:215-481-7438
Practice Address - Street 1:1200 OLD YORK RD
Practice Address - Street 2:ABINGTON CANCER CARE SPECIALISTS
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3720
Practice Address - Country:US
Practice Address - Phone:215-481-2400
Practice Address - Fax:215-481-7438
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD033516E207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC32309Medicare UPIN
PA159960Medicare PIN
PAC32309Medicare UPIN