ANDRES MARTIN MD (Credential# 553000) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
ANDRES MARTIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035407. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 230 S Frontage Rd, New Haven, CT 06519-1124. The current status is active.
| Licensee Name | ANDRES MARTIN MD |
| Credential ID | 553000 |
| Credential Number | 1.035407 |
| Credential Type | Physician/Surgeon |
| Business Address |
230 S Frontage Rd New Haven CT 06519-1124 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1996-07-12 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-10 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 178375 | CSP.0024586 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 230 S FRONTAGE RD |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1124 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Frances G Javier | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2018-06-12 ~ 2024-06-30 |
| Linda Beth Drozdowicz | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Hyun Hee Kim | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Kammarauche Asuzu | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Youngsun T Cho | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2017-07-11 ~ 2021-06-30 |
| Leisel S Martin-brown | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2017-07-03 ~ 2021-06-30 |
| Eunice Yuen | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Emily Hunt Olfson | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Kartik Pattabiraman | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Jose Manuel Paez | 230 S Frontage Rd, New Haven, CT 06519-1124 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | NEW HAVEN |
| Zip Code | 06519 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andres B Sanchezmanjon | 7 Hillview Pl, Elmsford, NY 10523 | Physician/surgeon | 2000-01-10 ~ 2001-02-28 |
| Andres G Digenio Md | 265 N Garden Ct, Egg Harbor City, NJ 08215-3438 | Physician/surgeon | 2012-11-01 ~ 2013-10-31 |
| Andres Espinoza | 217 N Highland Ave Apt 1302, Ossining, NY 10562-2936 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Andres Barkil-oteo Md | 34 Park St, New Haven, CT 06519 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| Andres E Canova Md | 1222 Oak Grove Avenue, Burlingame, CA 94010 | Physician/surgeon | 2004-02-12 ~ 2005-03-31 |
| Andres Alejandro Nieto | 275 Battery Street, Suite 650, San Francisco, CA 94111 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Martin E Bur | 24 Warner Street, Belchertown, MA 01007 | Physician/surgeon | ~ |
| David J Martin | C/o O.s.m., Trumbull, CT 06611 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Martin Bauermeister | 17 Bay St, Wickford, RI 02852 | Physician/surgeon | 2000-02-15 ~ 2000-11-30 |
| Martin Maimon | 701 5th Ave, Seattle, WA 98104 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
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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).