Sandra J Dock in Waterbury - Physician Assistant
Sandra J Dock - NPI 1770695140
Sandra J Dock is a Physician Assistant in Waterbury, Connecticut. Sandra J Dock practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sandra J Dock is 1770695140. The last update date is 2013-07-03.
Sandra J Dock's current location address is 170 Grandview Ave, Waterbury, Connecticut. You can contact this provider via phone number 2037593666 and fax number 2037593671. The mailing address for Sandra J Dock is 170 Grandview Ave, Waterbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Name | Sandra J Dock |
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Address | 170 Grandview Ave, Waterbury, Connecticut |
Phone Number | 2037593666 |
Fax Number | 2037593671 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1770695140 |
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Provider Enumeration Date | 2006-08-31 |
Last Updated Date | 2013-07-03 |
Provider Mailing Address Detail
Address | 170 Grandview Ave |
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City | Waterbury |
State | Connecticut (CT) |
Post Code | 67082525 |
Phone Number | 2037593666 |
Fax Number | 2037593671 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 1213 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Sandra J Dock by the Centers for Medicare & Medicaid Services?
The Sandra J Dock has been assigned the NPI (National Provider Identifier) 1770695140 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Sandra J Dock is physically located?
The Sandra J Dock is physically situated at the following address: 170 Grandview Ave, Waterbury, CT, 67082525.
What is Sandra J Dock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sandra J Dock's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
When did Sandra J Dock receive its 1770695140 assignment?
The Sandra J Dock was assigned its 1770695140 on 2006-08-31, which is the date when this unique identifier was issued to the organization.
When was the information regarding Sandra J Dock, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Sandra J Dock, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-07-03.