Individual
ALI BANKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2928 MAIN ST STE 200, GLASTONBURY, CT 06033-1007
(860) 659-2779
(860) 633-9315
Mailing address
2928 MAIN ST STE 200, GLASTONBURY, CT 06033-1007
(860) 633-9315
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
048744
CT
Other
Enumeration date
06/24/2010
Last updated
06/29/2021
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