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DR. JEFFREY ROBERT SANDERSON MD NPI 1336241363


NPI Information

NPI: 1336241363
Provider Name: DR. JEFFREY ROBERT SANDERSON, MD
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
4 PARK LANE
NEW MILFORD, CT
ZIP 06776
Phone: (860) 354-2241
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DR. Jeffrey Robert Sanderson, MD is a surgery in New Milford, CT. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. Jeffrey Robert Sanderson, MD NPI is 1336241363. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4 PARK LANE
NEW MILFORD, CT
ZIP 06776
Phone: (860) 354-2241
Fax: (860) 350-8660

The enumeration date for this NPI number is 9/1/2006 and was last updated on 3/14/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular Surgery24946CONNECTICUTNo
2208600000XSurgery24946CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1010024946CT02OTHERCONNECTICUTBLUE SHEILD
22043999OTHERAETNA
3706114OTHERCONNECTICARE
4041378OTHERHEALTHNET
52248667002OTHERCIGNA
6020005221MEDICARE ID-TYPE UNSPECIFIED
7500HBC186CT01OTHERBLUE CARE FAMILY PLAN
856010024946CT2OTHERANTHEM NATIONAL ACCOUNT
9001249465MEDICAIDCONNECTICUT
10C59605MEDICARE UPIN
11LIS011OTHEROXFORD
12020000488MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.