| Doctor Name: | GREGORY SCOTT ANDRADE |
| NPI Number: | 1467630244 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | ADC00039 |
| Business Practice Address: | 294 Robin Hollow Rd West Greenwich, RI - 028172133 |
| Business Phone Number: | 4013921354 |
| Business Fax Number: | 4017225916 |
| Mailing Address: | 294 Robin Hollow Rd, WEST GREENWICH |
| State: | RI |
| Postal Code: | 028172133 |
| Phone Number: | 4013921354 |
| Fax Number: | |
| NPI Enumeration Date: | 02/04/2008 |
| NPI Last Update Date: | 01/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | ADC00039 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |