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Contact Information

ANDREW C RAISSIS, MD
6 NORTHWESTERN DR STE 305
BLOOMFIELD, CT06002
 Phone: 860-242-8591
 Fax: 860-242-2511
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Colon & Rectal Surgery

208C00000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ANDREW C RAISSIS · (Male)

NPI # 1316220429
Status Active
Credentials MD
Entity Individual
Enumeration date 09/25/2011
Last updated 06/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 56849
  • DC License # MD044113
  • PA License # MT199113
Hospital affiliation(s)
  • MANCHESTER MEMORIAL HOSPITAL - (Acute Care)
    71 HAYNES ST
    MANCHESTER, CT 06040
  • ST FRANCIS HOSPITAL & MEDICAL CENTER - (Acute Care)
    114 WOODLAND STREET
    HARTFORD, CT 06105
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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