Provider Demographics
NPI:1730313255
Name:MCBRIDE, ANDREW DENNIS (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:DENNIS
Last Name:MCBRIDE
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 NEW HAVEN AVE
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-4827
Mailing Address - Country:US
Mailing Address - Phone:203-783-3285
Mailing Address - Fax:203-783-3286
Practice Address - Street 1:82 NEW HAVEN AVE
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-4827
Practice Address - Country:US
Practice Address - Phone:203-783-3285
Practice Address - Fax:203-783-3286
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT016319208D00000X
NC9900932208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice