Provider Demographics
NPI:1710927306
Name:KIRSCHNER, ANDREW SCOTT (DO)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:SCOTT
Last Name:KIRSCHNER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 BELMONT AVE
Mailing Address - Street 2:STE. 416
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-1617
Mailing Address - Country:US
Mailing Address - Phone:610-617-9355
Mailing Address - Fax:610-667-2748
Practice Address - Street 1:1 BELMONT AVE
Practice Address - Street 2:STE. 416
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1617
Practice Address - Country:US
Practice Address - Phone:610-617-9355
Practice Address - Fax:610-667-2748
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS-009268L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
2094554OtherAETNA
0707749001OtherKEYSTONE HEALTH PLAN EAST
PAG79441Medicare UPIN
0707749001OtherKEYSTONE HEALTH PLAN EAST