Douglas D'andrea MD

NPI 1073518767 - Internal Medicine - 207R00000X

NPI Details
NPI 1073518767
Gender Male
Enumeration Date 06/17/2005
Last Updated 08/17/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
263 FARMINGTON AVE
FARMINGTON CT, 06030-0001, US
Phone (860) 679-2893
Fax (860) 679-4587
Business Location
263 FARMINGTON AVE
PROVIDER ENROLLMENT
FARMINGTON CT, 06030-2212, US
Phone (860) 679-7503
Fax (860) 679-1610
Toxanomy
Taxonomy Code 207R00000X
License State Connecticut
License Number 040266
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According to our database, Douglas D'andrea MD NPI is 1073518767, taxonomy code is 207R00000X and license number is 040266, license state is located at Connecticut. Douglas D'andrea MD physically located at 263 Farmington Ave, Farmington CT, 06030-0001. NPI Number Douglas D'andrea MD has the Individual type.

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1073518767 NPI number is provided on an as is basis without warranty of any kind. 1073518767 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas D'andrea MD are for informational purposes only.