Individual
MR. ANDRE GABRIEL PHILIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
437 ORANGE STREET, NEW HAVEN, CT 06511
(203) 909-6370
(203) 909-6374
Mailing address
437 ORANGE STREET, NEW HAVEN, CT 06511
(203) 909-6370
(203) 909-6374
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8330
CT
Other
Enumeration date
03/11/2019
Last updated
08/16/2019
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