Individual
DR. ANDREW P DHANASOPON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 HOWARD AVE, NEW HAVEN, CT 06519-1369
(203) 785-7627
Mailing address
800 HOWARD AVE, NEW HAVEN, CT 06519-1369
(203) 785-7627
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
564976539
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
56844
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2009
Last updated
08/09/2017
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