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Individual

MR. ANDREW D. CROTTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
Mailing address
99 HAWLEY LANE, FL. 3, CB-3427, NORTHEAST MEDICAL GROUP, INC., STRATFORD, CT 06614-1202
(203) 502-4650

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1285396788
CT
05
1285396788
RI
Enumeration date
10/12/2021
Last updated
10/13/2021
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