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S.A.B. MD. PC NPI 1164673182


NPI Information

NPI: 1164673182
Provider Name: S.A.B. MD. PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1000 ASYLUM AVE
SUITE 2105
HARTFORD, CT
ZIP 06105
Phone: (860) 249-0083
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S.A.B. MD. PC is a specialist in Hartford, CT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. S.A.B. MD. PC NPI is 1164673182. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1000 ASYLUM AVE
SUITE 2105
HARTFORD, CT
ZIP 06105-770
Phone: (860) 249-0083
Fax: (860) 246-5672

The provider's authorized official is Stephen A. Brown .
The authorized official title is Medical Director and has the following contact phone number (860) 249-0083.

The enumeration date for this NPI number is 10/8/2008 and was last updated on 10/8/2008.


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
1174400000XSpecialist016054CONNECTICUTYes

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

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