Individual provider · Type 1 NPI

Chan Andries, PA-C

Surgical Physician Assistant · Hartford, CT

NPI number 1912196478 Active

Practice location

114 Woodland St, Surgery Dept
Hartford, CT 06105-1208

Call (860) 714-5237 Map

Mailing address

1000 Asylum Ave, Suite 2109A
Hartford, CT 06105-1770

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X002002 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1912196478

Chan Andries, PA-C's National Provider Identifier is 1912196478, issued on Oct 22, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hartford, CT. The record was last updated on Dec 18, 2013.