Provider Demographics
NPI:1932477585
Name:SANJURJO, TOMAS (DC)
Entity type:Individual
Prefix:DR
First Name:TOMAS
Middle Name:
Last Name:SANJURJO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 FRANKLIN AVE STE 2W
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06114-3082
Mailing Address - Country:US
Mailing Address - Phone:959-888-3960
Mailing Address - Fax:959-888-3947
Practice Address - Street 1:555 FRANKLIN AVE STE 2W
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06114-3082
Practice Address - Country:US
Practice Address - Phone:959-888-3960
Practice Address - Fax:959-888-3947
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-12
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001833111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor