Individual
DR. ROSS J SANFILIPPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4 SHAWS CV, SUITE 203, NEW LONDON, CT 06320-4956
(860) 443-3619
(860) 443-1401
Mailing address
4 SHAWS CV, SUITE 203, NEW LONDON, CT 06320-4956
(860) 443-3619
(860) 443-1401
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
007787
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
507666
UNITED CONCORDIA
CT
Enumeration date
07/26/2006
Last updated
07/09/2007
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