Provider Demographics
NPI:1609302017
Name:ISKANDAR, ANDREW SAMIR (MD)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:SAMIR
Last Name:ISKANDAR
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 1:900 MEDICAL CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-2358
Mailing Address - Country:US
Mailing Address - Phone:856-557-7900
Mailing Address - Fax:
Practice Address - Street 1:2211 CHAPEL AVE W STE 501
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-2059
Practice Address - Country:US
Practice Address - Phone:856-922-5180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-04
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD478510207RH0003X, 207RH0003X
NJ25MA11933900207RH0003X, 207RH0003X
CAA164727208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist