Individual
DR. MARK DORAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
96 DANBURY RD, RIDGEFIELD, CT 06877-4069
(203) 438-0874
(203) 438-5986
Mailing address
96 DANBURY RD, RIDGEFIELD, CT 06877-4069
(203) 438-0874
(203) 438-5986
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
CT027066
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001270669
—
CT
01
—
010027066CT01
BCBS-CT
CT
01
—
1237318
AETNA
CT
01
—
774197
CONNECTICARE
CT
01
—
ZP138
OXFORD HEALTH PLANS
CT
Enumeration date
11/30/2006
Last updated
11/18/2011
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