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Contact Information

ANDREA G DIXON, MD
210 MAIN STREET
MANCHESTER, CT06040
 Phone: 860-646-0313
 Fax: 860-643-3086
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ANDREA G DIXON · (Female)

NPI Number 1699725929
Status Active
Credentials MD
Entity Individual
Enumeration date 05/10/2006
Last updated 09/29/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 045265
  • CT Other 6224 LAST 4 OF EIN
Hospital affiliation(s) Not Available
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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