Provider Demographics
NPI:1841640273
Name:AGASAR, ANDREW GERALD (DC)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:GERALD
Last Name:AGASAR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 W COUNTY LINE RD STE 1
Mailing Address - Street 2:
Mailing Address - City:HATBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19040-1605
Mailing Address - Country:US
Mailing Address - Phone:215-259-5100
Mailing Address - Fax:484-845-3177
Practice Address - Street 1:319 W COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:HATBORO
Practice Address - State:PA
Practice Address - Zip Code:19040-1605
Practice Address - Country:US
Practice Address - Phone:215-259-5100
Practice Address - Fax:484-845-3177
Is Sole Proprietor?:No
Enumeration Date:2016-06-16
Last Update Date:2021-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011154111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor