Individual
ANDREW WORMSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
46 PRINCE ST, NEW HAVEN, CT 06519-1600
(203) 772-0011
(203) 785-9352
Mailing address
9 WASHINGTON AVE, 2ND FLOOR, HAMDEN, CT 06518-3267
(203) 248-3013
(203) 248-2878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1266238
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010026623CT01
BLUE CROSS BLUE SHIELD
CT
01
—
0Q2059
HEALTH NET
CT
01
—
110158519
RAILROAD MEDICARE
CT
01
—
2047739
AETNA
CT
01
—
726623
CONNECTICARE
CT
01
—
NHP073
OXFORD
CT
Enumeration date
07/18/2005
Last updated
10/17/2011
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