NPI 1912196478 · live from the CMS NPI Registry
Chan Andries, PA-C
Physician Assistant, Surgical in Hartford, CT. National Provider Identifier 1912196478, active.
NPI record
| NPI | 1912196478 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 114 Woodland St, Surgery Dept, Hartford, CT 06105 |
| Practice phone | 860-714-5237 |
| Mailing address | 1000 Asylum Ave, Suite 2109a, Hartford, CT 06105 |
| Enumerated | October 22, 2007 |
| Last updated | December 18, 2013 |
| Sole proprietor | No |
| Other names | Chan Chu |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical primary | 363AS0400X | 002002 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.