Organization
EAST COAST ANESTHESIA
Active
Other names
Armen Ketchedjian, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARMEN GREGORY KETCHEDJIAN MD (PHYSICIAN/PRESIDENT)
(203) 243-7686
Entity
Organization
Contact information
Practice address
929 BOSTON POST RD, SUITE 1, OLD SAYBROOK, CT 06475-2143
(203) 243-7686
Mailing address
PO BOX 547, SOUTHBURY, CT 06488-0547
(203) 243-7686
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
035600
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2V5180
HEALTHNET INSURANCE
CT
01
—
500HBA454CT01
ANTHEM BC/BS
CT
01
—
P2753812
OXFORD
CT
Enumeration date
10/17/2006
Last updated
08/22/2020
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