Individual
DR. JEFFREY ROBERT SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 PARK LANE, NEW MILFORD, CT 06776
(860) 354-2241
(860) 350-8660
Mailing address
4 PARK LANE, NEW MILFORD, CT 06776
(860) 354-2241
(860) 350-8660
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24946
CT
2086S0129X
Vascular Surgery Physician
24946
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001249465
—
CT
01
—
010024946CT02
BLUE SHEILD
CT
01
—
041378
HEALTHNET
—
01
—
2043999
AETNA
—
01
—
2248667002
CIGNA
—
01
—
500HBC186CT01
BLUE CARE FAMILY PLAN
—
01
—
56010024946CT2
ANTHEM NATIONAL ACCOUNT
—
01
—
706114
CONNECTICARE
—
01
—
LIS011
OXFORD
—
Enumeration date
09/01/2006
Last updated
03/14/2012
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