Basic Information
| Provider Information | |||||||||
| NPI: | 1457779175 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SANCHEZ-MITCHELL | ||||||||
| FirstName: | ASHLEY | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PRIMARY CARE INTERNAL MEDICINE | ||||||||
| Address2: | 263 FARMINGTON AVENUE | ||||||||
| City: | FARMINGTON | ||||||||
| State: | CT | ||||||||
| PostalCode: | 060301234 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8606794017 | ||||||||
| FaxNumber: | 8606791621 | ||||||||
| Practice Location | |||||||||
| Address1: | 201 N MOUNTAIN RD | ||||||||
| Address2: | |||||||||
| City: | PLAINVILLE | ||||||||
| State: | CT | ||||||||
| PostalCode: | 060621848 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8608274199 | ||||||||
| FaxNumber: | 8608274198 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/31/2014 | ||||||||
| LastUpdateDate: | 10/21/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 060070 | CT | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 060070 | 01 | CT | CT LICENSE | OTHER |