Organization · Type 2 NPI
S.a.b. Md. PC
Specialist · Hartford, CT
NPI number
1164673182
Active
Practice location
1000 Asylum Ave, Suite 2105
Hartford, CT 06105-1770
Fax (860) 246-5672
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 016054 (CT) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1164673182
S.a.b. Md. PC's National Provider Identifier is 1164673182, issued on Oct 8, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hartford, CT. The record was last updated on Oct 8, 2008.