Individual
UTTAM K BANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-4088
(860) 714-8263
Mailing address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-4088
(860) 714-8263
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001766
CT
363A00000X
Physician Assistant
010020
NY
Other
Enumeration date
06/10/2006
Last updated
09/10/2013
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