Individual
DR. SARAH BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030
(860) 679-4700
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06032-1956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60792
CT
207RI0200X
Infectious Disease Physician
Primary
060792
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060792
MEDICAL LICENSE
CT
Enumeration date
04/23/2014
Last updated
05/03/2019
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