ANDREA J NEEDLEMAN (Credential# 546443) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
ANDREA J NEEDLEMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.027214. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 4 So Pomperaug Ave, Woodbury, CT 06798. The current status is active.
| Licensee Name | ANDREA J NEEDLEMAN |
| Credential ID | 546443 |
| Credential Number | 1.027214 |
| Credential Type | Physician/Surgeon |
| Business Address |
4 So Pomperaug Ave Woodbury CT 06798 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1986-05-01 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-03-05 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 157180 | CSP.0013989 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 4 SO POMPERAUG AVE |
| City | WOODBURY |
| State | CT |
| Zip Code | 06798 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert S Mcwilliam | 4 So Pomperaug Ave, Woodbury, CT 06798 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Russell J Hardy | 229 Bacon Pond Rd #114, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Geoffrey S Middeleer | 20 Roxbury Road, Woodbury, CT 06798 | Landscape Architect | 2020-08-01 ~ 2021-07-31 |
| Elaine P Templeton | 197 Carmel Hill Road, Woodbury, CT 06798 | Real Estate Salesperson | ~ |
| Ayrica L Gelinas | 65 Laurel Woods Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Christopher R Laux | Grey Fox Trail, Woodbury, CT 06798 | Architect | 2020-08-01 ~ 2021-07-31 |
| Diane L Robinson | P O Box 208, Woodbury, CT 06798 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Scott Freitag | 47 Woodbury Hill, Woodbury, CT 06798 | Medication Administration Certification | ~ |
| Brenda L Lupo | 31 Blueberry Lane, Woodbury, CT 06798 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer L Thompson | 1280 Main St. North, Woodbury, CT 06798 | Licensed Clinical Social Worker | 2020-08-01 ~ 2021-07-31 |
| Eileen O Pflegl | 3 Hazel Plain Road, Woodbury, CT 06798 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Find all Licenses in zip 06798 | |||
| City | WOODBURY |
| Zip Code | 06798 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WOODBURY |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Vidali | 41 S 5th St Apt 11, Brooklyn, NY 11249-8417 | Physician/surgeon | ~ |
| Wen-ray T Hsu | 18 Andrea Lane, Scarsdale, NY 10583 | Physician/surgeon | 2007-12-19 ~ 2008-10-31 |
| Andrea C Lin | 9 N Gate Rd, Carmel, NY 10512-2213 | Physician/surgeon | 2010-09-09 ~ 2011-06-30 |
| Andrea G Asnes | 324 Yale Ave, New Haven, CT 06515-2233 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Andrea R Carlsen | 75 Prospect St, Suite 105, Huntington, NY 11743 | Physician/surgeon | ~ |
| Andrea J Rock | 30 Lyon St # 3, New Haven, CT 06511-4926 | Physician/surgeon | 2012-06-01 ~ 2013-05-31 |
| Carl C D'andrea Md | 10 Pilgrim's Way, Gaylordsville, CT 06755 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Andrea B Lese | 301 Central Ave Ne, Albuquerque, NM 87102-3885 | Physician/surgeon | 2015-10-01 ~ 2016-09-30 |
| Andrea D Gelzer Md | 217 Bay Point Rd, Newbury, NH 03255 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Dana Salomy | 24 Andrea Ln, Scarsdale, NY 10583-3116 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).