Provider Demographics
NPI:1962830950
Name:ANDREW PHILIP KING, MD, PC
Entity Type:Organization
Organization Name:ANDREW PHILIP KING, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:PHILIP
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-349-2424
Mailing Address - Street 1:1163 ROUTE 37 W
Mailing Address - Street 2:SUITE A2
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-4973
Mailing Address - Country:US
Mailing Address - Phone:732-349-2424
Mailing Address - Fax:732-349-8130
Practice Address - Street 1:1163 ROUTE 37 W
Practice Address - Street 2:SUITE A2
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-4973
Practice Address - Country:US
Practice Address - Phone:732-349-2424
Practice Address - Fax:732-349-8130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04752800207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4987101Medicaid
NJ4987101Medicaid