Individual
DAVID BARRETT BANACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-4225
(860) 679-1217
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-4225
(860) 679-1217
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
248594
NY
207RI0200X
Infectious Disease Physician
Primary
050736
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2007
Last updated
09/28/2022
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