Provider Demographics
NPI:1730374562
Name:SANFT, TARA B (MD)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:B
Last Name:SANFT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:333 CEDAR ST
Mailing Address - Street 2:PO BOX 208032
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3206
Mailing Address - Country:US
Mailing Address - Phone:203-737-5686
Mailing Address - Fax:203-785-3788
Practice Address - Street 1:333 CEDAR ST
Practice Address - Street 2:LMP 1072B
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3206
Practice Address - Country:US
Practice Address - Phone:203-737-5686
Practice Address - Fax:203-785-3788
Is Sole Proprietor?:No
Enumeration Date:2007-09-14
Last Update Date:2010-08-26
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Provider Licenses
StateLicense IDTaxonomies
CT049004207RX0202X
CT49004207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine