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NPI Code Detail

MEDICARE: SONAM SUTARIA

MEDICARE: SONAM SUTARIA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist13373CT

General Provider Information

NPI Number : 1548618440
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONAM SUTARIA
Provider Business Mailing Address
First Line : 525 BUCKLAND RD
Second Line :
City : SOUTH WINDSOR
State : CT
Zip : 06074-3746
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 525 BUCKLAND RD
Second Line :
City : SOUTH WINDSOR
State : CT
Zip : 06074-3746
Country : US
Telephone Number : 860-644-4241
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2016
Last Update Date : 06/01/2016

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Directions to “ SONAM SUTARIA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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