Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 044144 | CT |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 044144 | CT |
NPI | 1225017528 |
---|---|
Provider Name | Dr. Ammar Anbari |
First Address | North Franklin, CT 06254-1807 |
Second Address | North Franklin, CT 06254-1807 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
044144 | LICENSE (01) | CT |
I44277 | (02) | CT |