Individual
DR. ANDREW C RAISSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 NORTHWESTERN DR STE 305, BLOOMFIELD, CT 06002
(860) 242-8591
(860) 242-2511
Mailing address
6 NORTHWESTERN DR STE 305, BLOOMFIELD, CT 06002-3428
(860) 242-8591
(860) 242-2511
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT199113
PA
208C00000X
Colon & Rectal Surgery Physician
Primary
56849
CT
208C00000X
Colon & Rectal Surgery Physician
MD044113
DC
Other
Enumeration date
09/25/2011
Last updated
06/29/2021
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