Individual
CLARK ANDREW FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
333 CEDAR STREET, TOMPKINS 3, YUSM DEPARTMENT OF ANESTHESIOLOGY, NEW HAVEN, CT 06520-8051
(203) 785-2802
Mailing address
333 CEDAR STREET, TOMPKINS 3, YUSM DEPARTMENT OF ANESTHESIOLOGY, NEW HAVEN, CT 06520-8051
(203) 785-2802
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
70843
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2017
Last updated
07/21/2022
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