Provider Demographics
NPI:1811957426
Name:GURMAN, ANDREW W (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:W
Last Name:GURMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-3100
Mailing Address - Country:US
Mailing Address - Phone:814-942-7324
Mailing Address - Fax:814-942-7327
Practice Address - Street 1:1701 12TH AVE
Practice Address - Street 2:SUITE C2
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-3100
Practice Address - Country:US
Practice Address - Phone:814-942-7324
Practice Address - Fax:814-942-7327
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD035783E207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010425150003Medicaid
PA0010425150003Medicaid
PAG4135319Medicare ID - Type Unspecified