Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 042350 | CT |
Y | 207X00000X | Orthopaedic Surgeon | 42350 | CT |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 42350 | CT |
NPI | 1427036433 |
---|---|
Provider Name | Dr. Sanda L Tomak |
First Address | Hamden, CT 06518-3209 |
Second Address | Hamden, CT 06518-3209 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2006 |
Last Update Date | 23/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H61591 | (02) | CT |