Provider Demographics
NPI:1528290681
Name:PIERSON, M.D., ANNE BINGHAM (MD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:BINGHAM
Last Name:PIERSON, M.D.
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 1:215 PARKWAY NORTH
Mailing Address - Street 2:SONALYSTS, INC.
Mailing Address - City:WATERFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06385
Mailing Address - Country:US
Mailing Address - Phone:860-442-4355
Mailing Address - Fax:860-447-8883
Practice Address - Street 1:215 PARKWAY NORTH
Practice Address - Street 2:SONALYSTS, INC.
Practice Address - City:WATERFORD
Practice Address - State:CT
Practice Address - Zip Code:06385
Practice Address - Country:US
Practice Address - Phone:860-442-4355
Practice Address - Fax:860-447-8883
Is Sole Proprietor?:No
Enumeration Date:2009-08-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT#21459207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AP9040320OtherDEA