Individual
ANDREW J MCDOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 LONG WHARF DR, SUIT 212, NEW HAVEN, CT 06511-5991
(203) 624-4208
(203) 624-4301
Mailing address
1 LONG WHARF DR, SUIT 212, NEW HAVEN, CT 06511-5991
(203) 624-4208
(203) 624-4301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3220
CT
363AM0700X
Medical Physician Assistant
Primary
3220
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003220
STATE OF CT LICESNSE
CT
01
—
CSP0058906
CONTROLLED SUBSTANCE REGISTRATION
CT
Enumeration date
10/18/2014
Last updated
03/07/2023
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