Individual
DR. AMANDA STEVENSON AYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6 NORTHWESTERN DR STE 305, BLOOMFIELD, CT 06002-3428
(860) 242-8591
Mailing address
6 NORTHWESTERN DR STE 305, BLOOMFIELD, CT 06002-3428
(860) 242-8591
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
48711
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004095148
—
CT
Enumeration date
07/23/2007
Last updated
06/28/2021
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