Provider Demographics
NPI:1760473219
Name:ZUBER, ANDREW F (PA-C)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:F
Last Name:ZUBER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 TOWNSEND AVE STE R
Mailing Address - Street 2:
Mailing Address - City:BOOTHBAY HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04538-1895
Mailing Address - Country:US
Mailing Address - Phone:207-633-1075
Mailing Address - Fax:207-633-1067
Practice Address - Street 1:185 TOWNSEND AVE STE R
Practice Address - Street 2:
Practice Address - City:BOOTHBAY HARBOR
Practice Address - State:ME
Practice Address - Zip Code:04538-1895
Practice Address - Country:US
Practice Address - Phone:207-633-1075
Practice Address - Fax:207-633-1067
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPA527363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEPA527OtherME LICENSE
ME0004630Medicare PIN
ME000463003Medicare PIN