Individual
JASON SANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
497 WESTPORT AVE STE 300, NORWALK, CT 06851-4411
(203) 852-3494
(203) 847-0013
Mailing address
497 WESTPORT AVE, NORWALK, CT 06851-4411
(203) 852-3494
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6139
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008062105
—
CT
Enumeration date
09/11/2015
Last updated
02/14/2019
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