Provider Demographics
NPI:1649447269
Name:ANDRAWS, RICHARD ZAKI (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ZAKI
Last Name:ANDRAWS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 416457
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-6457
Mailing Address - Country:US
Mailing Address - Phone:844-362-1735
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:1511 PARK AVENUE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080
Practice Address - Country:US
Practice Address - Phone:908-756-4438
Practice Address - Fax:908-756-9160
Is Sole Proprietor?:No
Enumeration Date:2008-05-13
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY230542207RC0000X
NJ25MA08729900207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ181830CP5OtherMEDICARE ID - TYPE UNSPECIFIED
NJ181830U77OtherNJ MEDICARE ID#
NJ181830BAPOtherMEDICARE ID - TYPE UNSPECIFIED