Healthcare Provider Details

I. General information

NPI: 1285006007
Provider Name (Legal Business Name): DOCS OF CT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2015
Last Update Date: 10/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

849 BOSTON POST RD
MILFORD CT
06460-3537
US

IV. Provider business mailing address

163 UNIVERSAL DR N
NORTH HAVEN CT
06473-3152
US

V. Phone/Fax

Practice location:
  • Phone: 203-529-3271
  • Fax:
Mailing address:
  • Phone: 203-466-8060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JASDEEP SIDANA
Title or Position: OWNER
Credential: MD
Phone: 203-529-3271