Asena Derohannesian
NPI #1043685308 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1043685308
- Entity Type
- Individual
- Name
- Asena Derohannesian
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Enumeration Date
- Dec 11, 2015
- Last Updated
- Oct 17, 2018
Practice Location
- Address
- 425 THORME ST
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06606-3418
- Phone
- (203) 275-4115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Pediatrics — Pediatrics |
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