Individual
ANDREW J NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 CHASE PARKWAY, NOSS, WATERBURY, CT 06708-3119
(203) 755-7115
(203) 755-7067
Mailing address
1320 WEST MAIN ST, NOSS, WATERBURY, CT 06708-3119
(203) 755-7115
(203) 755-7067
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
36972
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C00071
MEDICARE GROUP NUMBER
CT
Enumeration date
10/03/2005
Last updated
11/01/2016
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