Provider Demographics
NPI:1376526509
Name:ANDIMAN, WARREN A (MD)
Entity Type:Individual
Prefix:
First Name:WARREN
Middle Name:A
Last Name:ANDIMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:300 GEORGE ST
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-6624
Mailing Address - Country:US
Mailing Address - Phone:203-785-6610
Mailing Address - Fax:203-785-6414
Practice Address - Street 1:20 YORK ST
Practice Address - Street 2:YALE-NEW HAVEN CHILDREN'S HOSPITAL - WEST PAVILION 2ND
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3220
Practice Address - Country:US
Practice Address - Phone:203-785-4081
Practice Address - Fax:203-785-3833
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2013-02-20
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Provider Licenses
StateLicense IDTaxonomies
CT0163262080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001163260Medicaid
CT001163260Medicaid
E25777Medicare UPIN