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Contact Information

JEFFREY R SANDERSON, MD
4 PARK LANE
NEW MILFORD, CT06776
 Phone: 860-354-2241
 Fax: 860-350-8660
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for JEFFREY R SANDERSON · (Male)

NPI Number 1336241363
Status Active
Credentials MD
Entity Individual
Enumeration date 09/01/2006
Last updated 03/14/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 24946
  • CT Medicaid 001249465
  • Other 2043999 AETNA
  • Other 56010024946CT2 ANTHEM NATIONAL ACCOUNT
  • Other 500HBC186CT01 BLUE CARE FAMILY PLAN
  • Other 2248667002 CIGNA
  • Other 706114 CONNECTICARE
  • Other 041378 HEALTHNET
  • Other LIS011 OXFORD
  • CT Other 010024946CT02 BLUE SHEILD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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