Individual
ANDREW WORMSER
Active
Individual
ANDREW WORMSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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