Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 48498 | CT |
NPI | 1114916798 |
---|---|
Provider Name | David W Sink |
First Address | Farmington, CT 06030-2948 |
Second Address | Farmington, CT 06030-2948 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2005 |
Last Update Date | 09/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1114916798 | (05) | CT |
G91377 | (02) | CT |