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NPI 1811293350 · live from the CMS NPI Registry

Ali Banki, D.O., P.C.

Dermatology in Glastonbury, CT. National Provider Identifier 1811293350, active.

NPI record

NPI1811293350 Type 2 · organization
StatusActive
Primary specialtyDermatology 207N00000X
Practice location15 Concord St, Glastonbury, CT 06033
Practice phone860-659-2779
EnumeratedFebruary 1, 2011
Last updatedFebruary 1, 2011
Authorized officialAli Banki, Owner/President

Taxonomies and licenses

TaxonomyCodeLicense
Dermatology primary207N00000X048744 (CT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.