Individual
ANU BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 SEYMOUR ST, STE. 200, HARTFORD, CT 06106-5501
(860) 289-3375
(860) 783-5733
Mailing address
111 FOUNDERS PLZ, STE. 400, EAST HARTFORD, CT 06108-3212
(860) 289-3375
(860) 783-5733
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
049804
CT
2085N0700X
Neuroradiology Physician
221299
MA
Other
Enumeration date
03/05/2007
Last updated
01/12/2018
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