Active NPIIndividual provider

Mr. Larry A Anderson, PA-C

Physician Assistant, Medical in West Haven, Connecticut

NPI Number1841390036
Practice location
950 Campbell Avenue, West Haven, CT 06516
Fax
203-937-3403
Last updated
July 8, 2007

Larry Allen Anderson is a Physician Assistant, Medical based in West Haven, CT. Larry Allen Anderson practices in West Haven, CT and has the professional credentials of PA-C. The NPI Number for Larry Allen Anderson is 1841390036 and holds a License No. 000059 (CT). The current practice location address for Larry Allen Anderson is 950 Campbell Avenue, West Haven, CT 06516 and can be reached out via phone at 203-932-5711 and via fax at 203-937-3403.

Provider Profile Details

NPI Number
1841390036
Provider Name
Larry Allen Anderson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
950 Campbell Avenue, West Haven, CT 06516
Phone Number
203-932-5711
Fax Number
203-937-3403
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
September 25, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
950 Campbell Avenue
West Haven, CT 06516
Zip
06516
Phone Number
203-932-5711
Fax Number
203-937-3403
West Haven, CT 06516Get directions →

Provider Business Mailing Address Details

Address
28 Spinning Wheel Road
Monroe, CT 06468
City
Monroe
State
CT
Zip
06468

License Information

License Number
000059
License State
CT
Taxonomy
Physician Assistant, Medical · 363AM0700X · 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 Mr. Larry A Anderson, PA-C?

The NPI number of Mr. Larry A Anderson, PA-C is 1841390036. It was assigned on September 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Larry A Anderson, PA-C?

Mr. Larry A Anderson, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 000059.

Where does Mr. Larry A Anderson, PA-C practice?

The practice location is 950 Campbell Avenue, West Haven, CT 06516. The office can be reached at 203-932-5711 (phone) or 203-937-3403 (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 1841390036 directly on the NPPES registry website.

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