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Individual

DR. RICKY L SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
80 SEYMOUR STREET, HARTFORD, CT 06106
(860) 972-2117
(860) 545-1784
Mailing address
99 EAST RIVER DR, 5TH FLOOR, EAST HARTFORD, CT 06108-7301
(860) 282-4133
(860) 289-0742

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
043147
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001431478
CT
Enumeration date
12/23/2005
Last updated
04/17/2021
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