Organization
ANDREW YUAN DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW YUAN D.O. (OWNER)
(203) 256-4733
Entity
Organization
Contact information
Practice address
1735 POST ROAD, SUITE # 7, FAIRFIELD, CT 06824
(203) 256-4733
Mailing address
1735 POST ROAD, SUITE # 7, FAIRFIELD, CT 06824
(203) 256-4733
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040000314CT02
ANTHEM BLUE CROSS AND BLUE SHIELD
—
Enumeration date
01/14/2015
Last updated
01/15/2015
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