Provider Demographics
NPI:1538240700
Name:SAXON, ANDREA M (MD)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:M
Last Name:SAXON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:305 BROOKWAY RD
Mailing Address - Street 2:
Mailing Address - City:MERION STATION
Mailing Address - State:PA
Mailing Address - Zip Code:19066-1504
Mailing Address - Country:US
Mailing Address - Phone:610-668-2606
Mailing Address - Fax:215-739-6777
Practice Address - Street 1:8 MORTON AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:RIDLEY PARK
Practice Address - State:PA
Practice Address - Zip Code:19078-2210
Practice Address - Country:US
Practice Address - Phone:610-521-2111
Practice Address - Fax:610-521-3048
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2016-06-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD034518E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA180046116OtherRAILROAD MEDICARE
PA1145245Medicaid
PA541623OtherBLUE SHIELD
PA57079OtherAETNA
PA0116345000OtherKEYSTONE HEALTH PLAN
PA30014646OtherKEYSTONE MERCY HEALTH
PA0116345000OtherKEYSTONE HEALTH PLAN
PA541623OtherBLUE SHIELD