Provider Demographics
NPI:1235124538
Name:ATTON, ANDREW VINCENT (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:VINCENT
Last Name:ATTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 BARTLETT DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:CT
Mailing Address - Zip Code:06443-1787
Mailing Address - Country:US
Mailing Address - Phone:203-430-5744
Mailing Address - Fax:617-272-8470
Practice Address - Street 1:377 BARTLETT DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:CT
Practice Address - Zip Code:06443-1787
Practice Address - Country:US
Practice Address - Phone:203-430-5744
Practice Address - Fax:617-272-8470
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT031427207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
031427OtherCONNECTICARE
031427OtherCONNECTICARE
031427OtherCONNECTICARE
CT70000343Medicare PIN