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Individual

ASSUNTA MARIA SANDOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
52 WASHINGTON AVE, SUITE 4, NORTH HAVEN, CT 06473-1724
(203) 672-2800
(203) 672-2801
Mailing address
52 WASHINGTON AVE, SUITE 4, NORTH HAVEN, CT 06473-1724
(203) 672-2800
(203) 672-2801

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001570
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010570Q040
CONNECTICARE
CT
01
290001570CT06
ANTHEM BCBS
CT
01
2V9259
HEALTHNET
CT
01
P00451138
RAILROADMEDICARE
CT
Enumeration date
02/19/2007
Last updated
10/28/2010
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