Individual
MR. LARRY ALLEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
950 CAMPBELL AVENUE, WEST HAVEN, CT 06516
(203) 932-5711
(203) 937-3403
Mailing address
28 SPINNING WHEEL ROAD, MONROE, CT 06468
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000059
CT
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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