Active NPIIndividual provider

Chan Andries, PA-C

Physician Assistant, Surgical in Hartford, Connecticut

NPI Number1912196478
Practice location
114 Woodland St, Surgery Dept, Hartford, CT 06105-1208
Fax
—
Last updated
December 18, 2013

Chan Andries is a Physician Assistant, Surgical based in Hartford, CT. Chan Andries practices in Hartford, CT and has the professional credentials of PA-C. The NPI Number for Chan Andries is 1912196478 and holds a License No. 002002 (CT). The current practice location address for Chan Andries is 114 Woodland St, Surgery Dept, Hartford, CT 06105-1208 and can be reached out via phone at 860-714-5237.

Provider Profile Details

NPI Number
1912196478
Provider Name
Chan Andries
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
114 Woodland St, Surgery Dept, Hartford, CT 06105-1208
Phone Number
860-714-5237
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Other Names
-- Chan Chu (Former Name)
Provider Enumeration Date
October 22, 2007
Last Update Date
December 18, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
114 Woodland St
Surgery Dept
Hartford, CT 06105-1208
Zip
06105-1208
Phone Number
860-714-5237
Hartford, CT 06105Get directions →

Provider Business Mailing Address Details

Address
1000 Asylum Ave
Suite 2109A
Hartford, CT 06105-1770
City
Hartford
State
CT
Zip
06105-1770
Phone Number
860-714-6581

License Information

License Number
002002
License State
CT
Taxonomy
Physician Assistant, Surgical · 363AS0400X · 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 Chan Andries, PA-C?

The NPI number of Chan Andries, PA-C is 1912196478. It was assigned on October 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Chan Andries, PA-C?

Chan Andries, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 002002.

Where does Chan Andries, PA-C practice?

The practice location is 114 Woodland St, Surgery Dept, Hartford, CT 06105-1208. The office can be reached at 860-714-5237 (phone).

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 1912196478 directly on the NPPES registry website.

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