Individual
ANDREW RICHARD HERSAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RCP
Contact information
Practice address
88 MAIN ST APT 6, NEW CANAAN, CT 06840-4712
(917) 714-8509
Mailing address
88 MAIN ST APT 6, NEW CANAAN, CT 06840-4712
(917) 714-8509
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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