Individual
ANDREW PAUL MACKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
346 POMFRET ST, PUTNAM, CT 06260-1871
(860) 928-0832
(860) 963-3837
Mailing address
346 POMFRET ST, PUTNAM, CT 06260-1871
(860) 928-0870
(860) 963-3837
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
217664
NY
207VM0101X
Maternal & Fetal Medicine Physician
217664
NY
207VM0101X
Maternal & Fetal Medicine Physician
Primary
47186
CT
Other
Enumeration date
04/17/2006
Last updated
09/26/2016
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