SANDRA J DOCK PA-C
NPI 1770695140
Physician Assistant in Waterbury, CT

Active since August 31, 2006
170 GRANDVIEW AVE, WATERBURY, CT 06708(203) 759-3666(203) 759-3671 Get Directions Write a Review

NPPES record last updated: July 3, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sandra J Dock Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA J DOCK PA-C (NPI 1770695140) is an individual physician assistant in Waterbury, Connecticut, licensed in Connecticut (001213) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1770695140
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSANDRA J DOCKCredential: PA-C
Location Address170 GRANDVIEW AVEWaterbury, CT 06708-2525
Mailing Address170 Grandview AveWaterbury, CT 06708-2525 · (203) 759-3666 · Fax (203) 759-3671
Fax(203) 759-3671
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 3, 2013
NPI 1770695140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CT · 001213
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

170 GRANDVIEW AVE, Waterbury, CT 06708

Other Identifiers 2

Medicare UPINP96278
Medicare ID-Type Unspecified970001397

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
170 GRANDVIEW AVE
WATERBURY, CT 06708
Internal Medicine (Critical Care Medicine)
170 GRANDVIEW AVE
WATERBURY, CT 06708
Internal Medicine (Critical Care Medicine)
170 GRANDVIEW AVE
WATERBURY, CT 06708
Nurse Practitioner (Family)
170 GRANDVIEW AVE
WATERBURY, CT 06708
Nurse Practitioner
170 GRANDVIEW AVE
WATERBURY, CT 06708
Internal Medicine (Pulmonary Disease)
170 GRANDVIEW AVE
WATERBURY, CT 06708
Internal Medicine (Pulmonary Disease)
170 GRANDVIEW AVE
WATERBURY, CT 06708
Nurse Practitioner (Adult Health)
170 GRANDVIEW AVE
WATERBURY, CT 06708

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770695140, enumerated as an "individual" on August 31, 2006.

The provider is located at 170 GRANDVIEW AVE WATERBURY, CT 06708 and the phone number is (203) 759-3666.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.