Individual
DR. CONNIE S. ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
706 EKASTOWN RD, COLONIAL CLINIC, SARVER, PA 16055-9724
(724) 353-1508
(724) 353-2040
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-7901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22230
NH
207Q00000X
Family Medicine Physician
290725
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016563080002
—
PA
Enumeration date
11/29/2005
Last updated
02/25/2022
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