Basic Information
| Provider Information | |||||||||
| NPI: | 1427083120 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LIJOI | ||||||||
| FirstName: | ANDRE | ||||||||
| MiddleName: | FRANCIS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3421 CONCORD RD | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174029001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178512521 | ||||||||
| FaxNumber: | 7178513535 | ||||||||
| Practice Location | |||||||||
| Address1: | 1001 S GEORGE ST | ||||||||
| Address2: | BLDG MKB | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 17405 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178512521 | ||||||||
| FaxNumber: | 7178513535 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2006 | ||||||||
| LastUpdateDate: | 07/21/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD040659E | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 86531 | 01 | PA | UNISON-YH OB | OTHER | 080126950 | 01 | PA | RAILROAD MEDICARE | OTHER | 20077834 | 01 | PA | AMERIHEALTH MERCY-WMG | OTHER | 50079482 | 01 | PA | CAPITAL BLUE CROSS-WMG | OTHER | 0079543000 | 01 | PA | AMERIHEALTH 65 PA | OTHER | 251631 | 01 | PA | MAMSI-YH | OTHER | 103490 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 16029 | 01 | PA | JOHNS HOPKINS | OTHER | 20009937 | 01 | PA | AMERIHEALTH MERCY-YH | OTHER | 245601 | 01 | PA | UNISON-WMG-WRC | OTHER | 615815 | 01 | MD | CAREFIRST MD BCBS | OTHER | 001107816 | 05 | PA | MEDICAID | 5662152 | 01 | PA | AETNA | OTHER | P003061 | 01 | PA | GATEWAY-YH | OTHER | 01550402 | 01 | PA | CAPITAL BLUE CROSS-YH | OTHER | 70074 | 01 | PA | GEISINGER | OTHER | 80928 | 01 | PA | UNISON-YH PCP | OTHER |