Provider Demographics
NPI:1972520914
Name:BAROCHIA, SANJAY PARBATBHAI (MD)
Entity type:Individual
Prefix:DR
First Name:SANJAY
Middle Name:PARBATBHAI
Last Name:BAROCHIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 CEDAR ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-2633
Mailing Address - Country:US
Mailing Address - Phone:860-667-8200
Mailing Address - Fax:860-667-8202
Practice Address - Street 1:66 CEDAR ST
Practice Address - Street 2:SUITE 105
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-2633
Practice Address - Country:US
Practice Address - Phone:860-667-8200
Practice Address - Fax:860-667-8202
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT041851207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTH97724Medicare UPIN
CT110009096Medicare PIN