Individual provider · Type 1 NPI

Graham Dersnah, MD

Student in an Organized Health Care Education/Training Program · Bridgeport, CT

NPI number 1568038958 Active

Practice location

267 Grant Street, Department Of Obstetrics & Gynecology
Bridgeport, CT 06610

Call (203) 384-3990 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1568038958

Graham Dersnah, MD's National Provider Identifier is 1568038958, issued on May 27, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bridgeport, CT. The record was last updated on Sep 18, 2021.