Individual
DR. ANDREW GANELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
381 HOPMEADOW ST, SUITE 101B, WEATOGUE, CT 06089-9692
(860) 651-1166
(860) 651-1167
Mailing address
381 HOPMEADOW ST, SUITE 101B, WEATOGUE, CT 06089-9692
(860) 651-1166
(860) 651-1167
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035611
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001356113
—
CT
Enumeration date
06/13/2006
Last updated
11/14/2011
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