Provider Demographics
NPI:1215921093
Name:MCGLONE, ANDREW P (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:P
Last Name:MCGLONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 12622
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4017
Mailing Address - Country:US
Mailing Address - Phone:443-481-6572
Mailing Address - Fax:443-481-6515
Practice Address - Street 1:2002 MEDICAL PKWY
Practice Address - Street 2:SUITE 670
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3046
Practice Address - Country:US
Practice Address - Phone:443-481-1150
Practice Address - Fax:410-225-0065
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0062349207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD407489100Medicaid
MD0108508OtherAMERICHOICE
MD122471OtherJHHC
MD2136695OtherMAMSI
MD10571OtherKAISER
MD2129681OtherCIGNA
DC0006OtherBCBS
MD7569663OtherAETNA PPO
MD3811404OtherAETNA HMO
MD60687000OtherFEDERAL WORKMAN'S COMP
MD64610501OtherBCBS
MD64610501OtherBCBS
MD2129681OtherCIGNA