Individual
DR. DESMOND WALTER EBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
639 PARK RD, 2ND FLOOR, WEST HARTFORD, CT 06107-3443
(860) 748-4064
(860) 838-2507
Mailing address
220 ALBANY TPKE, SUITE 164, CANTON, CT 06019-2520
(860) 748-4064
(860) 838-2507
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34291
CT
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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