Individual
ANDREY POPOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2870
(203) 384-3000
Mailing address
593 MAIN ST UNIT 202, RIDGEFIELD, CT 06877-3836
(302) 864-7408
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
128140
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
9689
CT
Other
Enumeration date
04/29/2015
Last updated
06/01/2022
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