Provider Demographics
NPI:1174083729
Name:INES, ANDREW JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:JOSEPH
Last Name:INES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:420 MOUNTAIN AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:NEW PROVIDENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:07974-2736
Mailing Address - Country:US
Mailing Address - Phone:908-458-8333
Mailing Address - Fax:908-967-5488
Practice Address - Street 1:251 S LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08361-7802
Practice Address - Country:US
Practice Address - Phone:856-691-8188
Practice Address - Fax:856-691-0421
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-20
Last Update Date:2024-07-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA12253400207W00000X
PAMD481216207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology