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Mr. Jason D Andrus, PA
Surgical Physician Assistant in New Haven, Connecticut
NPI 1104808369

Jason D Andrus is a Surgical Physician Assistant based in New Haven, CT and is specialized in Surgical. Jason D Andrus practices in New Haven, CT and has the professional credentials of PA. The NPI Number for Jason D Andrus is 1104808369 and holds a License No. 001011 (Connecticut).

The current practice location address for Jason D Andrus is 1450 Chapel St, New Haven, CT and can be reached out via phone at 203-789-3501.

Location: 1450 Chapel St, New Haven, CT, 06511-4405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104808369
Provider Name
Jason D Andrus
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1450 Chapel St, New Haven, CT, 06511-4405
Phone Number
203-789-3501
Fax Number
Provider Enumeration Date
11/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1104808369 01 NPI
P00461315 01 CT RAILROAD MEDICARE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1450 Chapel St
City
New Haven
State
Connecticut
Zip
06511-4405
Phone Number
203-789-3501
Fax Number
person
Provider Business Mailing Address Details
Address
1450 Chapel St
City
New Haven
State
Connecticut
Zip
06511-4405
Phone Number
203-789-3501
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
001011 (Connecticut)
Definition
Definition to come...
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