Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAMUEL JAMES BALLENTINE, MD
ActiveAnatomic Pathology & Clinical Pathology · WETHERSFIELD, CT
Registration Details
- NPI Number
- 1881038735
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 22, 2013 (13.011973036919 yrs)
- Last Updated
- Dec 29, 2025
- License
-
2019024601 (MO)
Practice Information
- Address
-
1290 SILAS DEANE HWY STE 101WETHERSFIELD, CT, 061094337Browse CT providers · Browse ZIP 06109
- Phone
- 8608599061
- Fax
- 8608896200
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.