Provider Demographics
NPI:1407226335
Name:CONNECTICUT HAND CENTER, PC
Entity Type:Organization
Organization Name:CONNECTICUT HAND CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:SEPEHR
Authorized Official - Middle Name:
Authorized Official - Last Name:SAJJAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-245-4500
Mailing Address - Street 1:59 FAIR HARBOUR PL
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:CT
Mailing Address - Zip Code:06320-4739
Mailing Address - Country:US
Mailing Address - Phone:203-245-4500
Mailing Address - Fax:203-779-1045
Practice Address - Street 1:59 FAIR HARBOUR PL
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:CT
Practice Address - Zip Code:06320-4739
Practice Address - Country:US
Practice Address - Phone:203-245-4500
Practice Address - Fax:203-779-1045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-05
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty