Active NPIIndividual provider

Dr. Andrew C Raissis, MD

Colon & Rectal Surgery in Bloomfield, Connecticut

NPI Number1316220429
Practice location
6 Northwestern Dr Ste 305, Bloomfield, CT 06002
Fax
860-242-2511
Last updated
June 29, 2021

Andrew C Raissis is a Colon & Rectal Surgery based in Bloomfield, CT. Andrew C Raissis practices in Bloomfield, CT and has the professional credentials of MD. The NPI Number for Andrew C Raissis is 1316220429 and holds a License No. MT199113 (PA). The current practice location address for Andrew C Raissis is 6 Northwestern Dr Ste 305, Bloomfield, CT 06002 and can be reached out via phone at 860-242-8591 and via fax at 860-242-2511.

Provider Profile Details

NPI Number
1316220429
Provider Name
Andrew C Raissis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6 Northwestern Dr Ste 305, Bloomfield, CT 06002
Phone Number
860-242-8591
Fax Number
860-242-2511
Primary Taxonomy
Colon & Rectal Surgery · 208C00000X
Sole Proprietor
No
Provider Enumeration Date
September 25, 2011
Last Update Date
June 29, 2021
Certification Date
June 29, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Northwestern Dr Ste 305
Bloomfield, CT 06002
Zip
06002
Phone Number
860-242-8591
Fax Number
860-242-2511
Bloomfield, CT 06002Get directions →

Provider Business Mailing Address Details

Address
6 Northwestern Dr Ste 305
Bloomfield, CT 06002-3428
City
Bloomfield
State
CT
Zip
06002-3428
Phone Number
860-242-8591
Fax Number
860-242-2511

License Information

License Number (1)
MT199113
License State (1)
PA
Taxonomy (1)
Surgery · 208600000X
License Number (2)
MD044113
License State (2)
DC
Taxonomy (2)
Colon & Rectal Surgery · 208C00000X
License Number (3)
56849
License State (3)
CT
Taxonomy (3)
Colon & Rectal Surgery · 208C00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Andrew C Raissis, MD?

The NPI number of Dr. Andrew C Raissis, MD is 1316220429. It was assigned on September 25, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Andrew C Raissis, MD?

Dr. Andrew C Raissis, MD is registered under the primary taxonomy Colon & Rectal Surgery (code 208C00000X), licensed in PA under license number MT199113.

Where does Dr. Andrew C Raissis, MD practice?

The practice location is 6 Northwestern Dr Ste 305, Bloomfield, CT 06002. The office can be reached at 860-242-8591 (phone) or 860-242-2511 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316220429 directly on the NPPES registry website.

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