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General NPI Number Information
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NPI Number | 1730374562
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Entity Type | Individual
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Provider Name | TARA B SANFT M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/14/2007
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 4185 BLACK ROCK TPKE STE 202
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City | FAIRFIELD
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State | CT
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Zip | 06824-1841
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Country | US
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Telephone | 203-255-4545
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Fax | 203-254-1191
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Provider Business Mailing Address
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Address Line | 1290 SILAS DEANE HWY HHC CVO
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City | WETHERSFIELD
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State | CT
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Zip | 06109-4337
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Country | US
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Telephone | 860-972-5507
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Fax | 860-972-7040
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 49004
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 049004
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License Number State | CT
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