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NPI Code Detail

MEDICARE: DR. MARK DORAN ANDERSON M.D.

MEDICARE: DR. MARK DORAN ANDERSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianCT027066CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1010027066CT01OTHERCTBCBS-CT
2ZP138OTHERCTOXFORD HEALTH PLANS
3774197OTHERCTCONNECTICARE
41237318OTHERCTAETNA
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679640866
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK DORAN ANDERSON M.D.
Provider Business Mailing Address
First Line : 96 DANBURY RD
Second Line :
City : RIDGEFIELD
State : CT
Zip : 06877-4069
Country : US
Telephone Number : 203-438-0874
Fax Number : 203-438-5986
Provider Business Practice Location Address
First Line : 96 DANBURY RD
Second Line :
City : RIDGEFIELD
State : CT
Zip : 06877-4069
Country : US
Telephone Number : 203-438-0874
Fax Number : 203-438-5986
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 11/18/2011

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Directions to “ DR. MARK DORAN ANDERSON M.D.” Practice Location

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