Provider Demographics
NPI:1730285065
Name:SANSING, JAMES GILBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GILBERT
Last Name:SANSING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:537 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-4912
Mailing Address - Country:US
Mailing Address - Phone:860-482-8983
Mailing Address - Fax:860-482-8983
Practice Address - Street 1:537 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-4912
Practice Address - Country:US
Practice Address - Phone:860-482-8983
Practice Address - Fax:860-482-8983
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT013427207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT113427Medicaid
CTC65119Medicare UPIN