Provider Demographics
NPI:1740921766
Name:NESDILL, ANDREW HENRY (MD, MBA)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:HENRY
Last Name:NESDILL
Suffix:
Gender:M
Credentials:MD, MBA
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Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-9800
Mailing Address - Country:US
Mailing Address - Phone:570-271-6775
Mailing Address - Fax:570-271-6762
Practice Address - Street 1:100 N ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-9800
Practice Address - Country:US
Practice Address - Phone:570-271-6775
Practice Address - Fax:570-271-6762
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT226215207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology