Individual
TIMOTHY BRANDRIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
81 HOLLY HILL LN FL 3, GREENWICH, CT 06830-6071
(203) 869-5515
(203) 869-5765
Mailing address
81 HOLLY HILL LN FL 3, GREENWICH, CT 06830-6071
(203) 869-5515
(203) 869-5765
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
017907
NY
363A00000X
Physician Assistant
OA000913
PA
363AM0700X
Medical Physician Assistant
003346
CT
Other
Enumeration date
02/07/2007
Last updated
11/15/2022
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