Individual
SAGAR MOHAN PHATAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1579 STRAITS TPKE, SUITE 2A, MIDDLEBURY, CT 06762-1835
(203) 757-8361
(203) 754-9126
Mailing address
1579 STRAITS TPKE, SUITE 2A, MIDDLEBURY, CT 06762-1835
(203) 757-8361
(203) 754-9126
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
044517
CT
Other
Enumeration date
07/12/2006
Last updated
07/09/2007
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