Active NPIIndividual provider

Ms. Andrea L Didisheim, PTA

Specialist in Princeton, New Jersey

NPI Number1093096679
Practice location
11 State RD, Suite 400, Princeton, NJ 08540-1300
Fax
—
Last updated
September 8, 2011

Andrea Louise Didisheim is a Specialist based in Princeton, NJ. Andrea Louise Didisheim practices in Princeton, NJ and has the professional credentials of PTA. The NPI Number for Andrea Louise Didisheim is 1093096679 and holds a License No. PTA40QB00235800 (NJ). The current practice location address for Andrea Louise Didisheim is 11 State RD, Suite 400, Princeton, NJ 08540-1300 and can be reached out via phone at 609-454-3536.

Provider Profile Details

NPI Number
1093096679
Provider Name
Andrea Louise Didisheim
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
11 State RD, Suite 400, Princeton, NJ 08540-1300
Phone Number
609-454-3536
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
September 8, 2011
Last Update Date
September 8, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 State RD
Suite 400
Princeton, NJ 08540-1300
Zip
08540-1300
Phone Number
609-454-3536
Princeton, NJ 08540Get directions →

Provider Business Mailing Address Details

Address
11 State RD
Suite 400
Princeton, NJ 08540-1300
City
Princeton
State
NJ
Zip
08540-1300
Phone Number
609-454-3536

License Information

License Number
PTA40QB00235800
License State
NJ
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Andrea L Didisheim, PTA?

The NPI number of Ms. Andrea L Didisheim, PTA is 1093096679. It was assigned on September 8, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Andrea L Didisheim, PTA?

Ms. Andrea L Didisheim, PTA is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number PTA40QB00235800.

Where does Ms. Andrea L Didisheim, PTA practice?

The practice location is 11 State RD, Suite 400, Princeton, NJ 08540-1300. The office can be reached at 609-454-3536 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093096679 directly on the NPPES registry website.

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