Provider Demographics
NPI:1023178019
Name:ANDELMAN, ROSS BENNETT (MD)
Entity type:Individual
Prefix:DR
First Name:ROSS
Middle Name:BENNETT
Last Name:ANDELMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2425 BISSO LN
Mailing Address - Street 2:SITE 280
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-4897
Mailing Address - Country:US
Mailing Address - Phone:925-646-5915
Mailing Address - Fax:925-646-5811
Practice Address - Street 1:2425 BISSO LN
Practice Address - Street 2:SITE 280
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-4897
Practice Address - Country:US
Practice Address - Phone:925-646-5915
Practice Address - Fax:925-646-5811
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2020-03-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG724122084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry