Provider Demographics
NPI:1881880300
Name:ANDRICH, MARY PATRICIA (MD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:PATRICIA
Last Name:ANDRICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:111 MICHIGAN AVE NW
Mailing Address - Street 2:DEPT. OF DIAGNOSTIC IMAGING, C.N.M.C.
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2978
Mailing Address - Country:US
Mailing Address - Phone:202-884-5091
Mailing Address - Fax:
Practice Address - Street 1:111 MICHIGAN AVE NW
Practice Address - Street 2:DEPT. OF DIAGNOSTIC IMAGING, C.N.M.C.
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2978
Practice Address - Country:US
Practice Address - Phone:202-884-5091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD19213207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine