Provider Demographics
NPI:1578847604
Name:ANDREW M RESS AND ASSOCIATES MD PA
Entity Type:Organization
Organization Name:ANDREW M RESS AND ASSOCIATES MD PA
Other - Org Name:RESS PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:M
Authorized Official - Last Name:RESS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-347-1611
Mailing Address - Street 1:6877 SW 18TH ST
Mailing Address - Street 2:SUITE H201
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-7046
Mailing Address - Country:US
Mailing Address - Phone:561-347-1611
Mailing Address - Fax:561-347-1455
Practice Address - Street 1:6877 SW 18TH ST
Practice Address - Street 2:SUITE H201
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-7046
Practice Address - Country:US
Practice Address - Phone:561-347-1611
Practice Address - Fax:561-347-1455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-07
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0073232208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty