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Individual

SANDRA L ALLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
2440 WHITNEY AVE, HAMDEN, CT 06518-3222
(203) 288-9650
(203) 288-9670
Mailing address
2440 WHITNEY AVE, HAMDEN, CT 06518-3222
(203) 288-9650
(203) 288-9670

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000152
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000152
CONNECTICARE
CT
01
0Q2941
HEALTH NET
CT
01
290000152CT04
ANTHEM BC BS CT
CT
01
970018978
RAILROAD MEDICARE
CT
Enumeration date
02/21/2006
Last updated
09/30/2010
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