Individual
MICHAELA COLLEEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25 DEWHIRST ST, BRIDGEPORT, CT 06606-4042
(203) 767-4773
Mailing address
25 DEWHIRST ST, BRIDGEPORT, CT 06606-4042
(203) 767-4773
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
023475
NY
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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