Sandra J Dock PA-C

NPI 1770695140 - Physician Assistant - 363A00000X

NPI Details
NPI 1770695140
Gender Female
Enumeration Date 08/31/2006
Last Updated 07/03/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
170 GRANDVIEW AVE
WATERBURY CT, 06708-2525, US
Phone (203) 759-3666
Fax (203) 759-3671
Business Location
170 GRANDVIEW AVE
WATERBURY CT, 06708-2525, US
Phone (203) 759-3666
Fax (203) 759-3671
Toxanomy
Taxonomy Code 363A00000X
License State Connecticut
License Number 001213
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According to our database, Sandra J Dock PA-C NPI is 1770695140, taxonomy code is 363A00000X and license number is 001213, license state is located at Connecticut. Sandra J Dock PA-C physically located at 170 Grandview Ave, Waterbury CT, 06708-2525. NPI Number Sandra J Dock PA-C has the Individual type.

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1770695140 NPI number is provided on an as is basis without warranty of any kind. 1770695140 is maintained by the National Plan & Provider Enumeration System. The contents of Sandra J Dock PA-C are for informational purposes only.