Whalio Doctors

NPI 1316220429

Andrew C Raissis, MD

Practitioner Colon & Rectal Surgery Physician Bloomfield, CT

Practice location

Address
6 Northwestern Dr STE 305, Bloomfield, CT 06002
Phone
(860) 242-8591
Fax
(860) 242-2511
Mailing address
6 Northwestern Dr STE 305, Bloomfield, CT 06002-3428

Registered specialties (3)

Colon & Rectal Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 56849 (CT)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MT199113 (PA)
Colon & Rectal Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence MD044113 (DC)

Registry record

NPI
1316220429
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Sep 2011
Record last updated
29 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.