Individual
ASENA DEROHANNESIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 THORME ST, BRIDGEPORT, CT 06606-3418
(203) 275-4115
(203) 275-0198
Mailing address
46 ALBION ST, BRIDGEPORT, CT 06605-2602
(203) 330-6000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
6410
CT
Other
Enumeration date
12/11/2015
Last updated
10/17/2018
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