Individual
ANDREA F DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25 VALLEY DR, GREENWICH, CT 06831-5203
(203) 661-3333
(203) 661-5610
Mailing address
25 VALLEY DR, GREENWICH, CT 06831-5203
(203) 661-3333
(203) 661-5610
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
047780
CT
Other
Enumeration date
07/06/2006
Last updated
05/10/2017
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