Provider Demographics
NPI:1801877584
Name:EPSTEIN, ANDREW J (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:J
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:146 HAZARD AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-4566
Mailing Address - Country:US
Mailing Address - Phone:860-763-4046
Mailing Address - Fax:860-763-3856
Practice Address - Street 1:146 HAZARD AVE STE 201
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-4566
Practice Address - Country:US
Practice Address - Phone:860-763-4046
Practice Address - Fax:760-763-3856
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2021-06-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT41350207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT7953519OtherAETNA
CT544017OtherWELLCARE
CT008017679Medicaid
CT841350OtherCONNECTICARE
CTP00106136OtherRR MEDICARE
CT3V3460OtherHEALTHNET
CT010041350CT09OtherBLUE CROSS BLUE SHIELD
CT2335678OtherUNITED HEALTHCARE
CTP4072909OtherOXFORD
CT3219691OtherCIGNA
CTP4072909OtherOXFORD