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Individual

EDWARD SAMPT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
71 HAYNES ST, SUITE 1221, MANCHESTER, CT 06040-4131
(860) 533-6595
Mailing address
71 HAYNES ST, SUITE 1221, MANCHESTER, CT 06040-4131
(860) 533-6595

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
038870
CT
208M00000X
Hospitalist Physician
Primary
038870
CT

Other

Enumeration date
02/08/2006
Last updated
03/12/2008
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