Individual
MR. MARK SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2324 POST RD, FAIRFIELD, CT 06824-5656
(203) 259-2700
(203) 259-3214
Mailing address
2324 POST RD, FAIRFIELD, CT 06824-5656
(203) 259-2700
(203) 259-3214
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
000265
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110000265CT01
ANTHEM ID
CT
01
—
2V2618
HEALTH NET ID
CT
01
—
P2754507
OXFORD HEALTH ID
CT
Enumeration date
01/11/2007
Last updated
07/08/2007
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