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BETH ANDERSEN PA

Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1003839291

Individual Registrant:
 BETH  ANDERSEN PA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
67 SAND PIT RD SUITE 308 DANBURY, CT 06810-4032 US
Tel: 203-743-7246  Fax: 203-792-3920

Contact information for business:
67 SAND PIT RD SUITE 308 DANBURY, CT 06810-4032 US
Tel: 203-743-7246  Fax: 203-792-3920

Registration Information:
NPI: 1003839291
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Medical
NY010302

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RAILROAD MEDICAREP00298878NY01




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