Individual provider · Type 1 NPI

Matthew Adam Sparks

Student in an Organized Health Care Education/Training Program · Farmington, CT

NPI number 1730649328 Active

Practice location

263 Farmington Ave
Farmington, CT 06030-0001

Call (860) 679-2000 Map

Mailing address

43 Crescent St
West Hartford, CT 06119-2104

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X12514 (CT)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730649328

Matthew Adam Sparks's National Provider Identifier is 1730649328, issued on Mar 21, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Farmington, CT. The record was last updated on Jun 26, 2019.