Individual
PATRICK SPONZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 SAGE PARK RD, WINDSOR, CT 06095-3327
(860) 707-4653
Mailing address
7 SAGE PARK RD, WINDSOR, CT 06095-3327
(860) 707-4653
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
158696026
CT
Other
Enumeration date
11/29/2015
Last updated
11/29/2015
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