Provider Demographics
NPI:1386720613
Name:TING, ANDREW J (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:J
Last Name:TING
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 1:15 RAILROAD AVENUE
Mailing Address - Street 2:
Mailing Address - City:S HAMILTON
Mailing Address - State:MA
Mailing Address - Zip Code:01982
Mailing Address - Country:US
Mailing Address - Phone:978-468-7381
Mailing Address - Fax:978-468-6020
Practice Address - Street 1:15 RAILROAD AVENUE
Practice Address - Street 2:
Practice Address - City:S HAMILTON
Practice Address - State:MA
Practice Address - Zip Code:01982
Practice Address - Country:US
Practice Address - Phone:978-468-7381
Practice Address - Fax:978-468-6020
Is Sole Proprietor?:No
Enumeration Date:2006-10-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA157805207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3189635Medicaid
MAJ18284OtherBLUECROSS BLUESHIELD
MA157805OtherTUFTS
MAJ18284OtherBLUECROSS BLUESHIELD
MAA290898Medicare ID - Type Unspecified