Individual
DR. SUDEEP BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
131 NEW LONDON TPKE STE 105, GLASTONBURY, CT 06033
(860) 430-5599
Mailing address
131 NEW LONDON TPKE STE 105, GLASTONBURY, CT 06033-2246
(860) 430-5599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
047284
CT
Other
Enumeration date
09/25/2007
Last updated
05/04/2026
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