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

Q: What is Sandra Dock's NPI number?

The NPI number for Sandra Dock is 1770695140. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Sandra Dock's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Dock was last updated on July 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 30, 2026.

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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

Phone(203) 759-3666

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

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Other Identifiers 2

Medicare UPINP96278

Medicare ID-Type Unspecified970001397

Other Providers at the Same Location NPPES 8

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

DR. FERDINANDO URBANO MD

Internal Medicine (Critical Care Medicine)