Provider Demographics
NPI:1932162054
Name:STRONG, ANN MARIE (MD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:STRONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:669 BOSTON POST RD STE 4
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2739
Mailing Address - Country:US
Mailing Address - Phone:203-453-1859
Mailing Address - Fax:203-453-1864
Practice Address - Street 1:669 BOSTON POST RD STE 4
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2739
Practice Address - Country:US
Practice Address - Phone:203-453-1859
Practice Address - Fax:203-453-1864
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT031247207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008050079Medicaid