Dr. Ross J Sanfilippo
Oral and Maxillofacial Pathology
4 Shaws Cv Suite 203
New London
, Connecticut 06320-4956
Dr. Ross J Sanfilippo
Oral and Maxillofacial Pathology
4 Shaws Cv Suite 203
New London
, Connecticut 06320-4956
(860) 443-1401
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Ross J Sanfilippo
- 4 Shaws Cv Suite 203
- New London, CT
- Zip : 06320-4956
- Fax : (860) 443-1401
- Phone : (860) 443-3619
Second Address
- Dr. Ross J Sanfilippo
- 4 Shaws Cv Suite 203
- New London, CT
- Zip : 06320-4956
- Fax : (860) 443-1401
- Phone : (860) 443-3619
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 007787 | CT |
National Provider Identifier
| NPI | 1154344281 |
|---|---|
| Provider Name | Dr. Ross J Sanfilippo |
| First Address | New London, CT 06320-4956 |
| Second Address | New London, CT 06320-4956 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 507666 | UNITED CONCORDIA (01) | CT |
| U30515 | (02) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.