Organization
ANESTHESIA ASSOCIATES OF NEW LONDON, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERT L. DROZDOW MD (CHIEF CLINICAL OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
(860) 443-4458
Mailing address
PO BOX 744533, ATLANTA, GA 30374-4533
(973) 251-1132
(913) 242-6850
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004093986
—
CT
01
—
CA4581
RAILROAD MEDICARE
—
Enumeration date
05/23/2006
Last updated
12/05/2019
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