Provider Demographics
NPI:1366400384
Name:ENGLER, ANDREW CHERNER (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:CHERNER
Last Name:ENGLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 BALDWIN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-3915
Mailing Address - Country:US
Mailing Address - Phone:650-343-4597
Mailing Address - Fax:650-343-3402
Practice Address - Street 1:290 BALDWIN AVE
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-3915
Practice Address - Country:US
Practice Address - Phone:650-343-4597
Practice Address - Fax:650-343-3402
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG52230207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG52230OtherMD LICENSE
ZZZ05345ZOtherMEDICARE PTAN#
CAA52206Medicare UPIN