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Contact Information

ANDREW R BAXTER
75 KINGS HIGHWAY CUTOFF
FAIRFIELD, CT06824-5340
 Phone: 203-266-1735
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ANDREW R BAXTER · (Male)

NPI # 1124346481
Status Active
Credentials
Entity Individual
Enumeration date 05/12/2010
Last updated 05/13/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 56261
  • CT Medicaid 1124346481
Hospital affiliation(s)
  • BRIDGEPORT HOSPITAL - (Acute Care)
    267 GRANT STREET
    BRIDGEPORT, CT 06610
  • GRIFFIN HOSPITAL - (Acute Care)
    130 DIVISION ST
    DERBY, CT 06418
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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