Individual
BETH ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
67 SAND PIT RD, SUITE 308, DANBURY, CT 06810-4032
(203) 743-7246
(203) 792-3920
Mailing address
67 SAND PIT RD, SUITE 308, DANBURY, CT 06810-4032
(203) 743-7246
(203) 792-3920
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010302
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00298878
RAILROAD MEDICARE
NY
Enumeration date
07/26/2006
Last updated
12/17/2008
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