Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 64782 | CT |
NPI | 1013371665 |
---|---|
Provider Name | Dr. Abbie Saccary |
First Address | New Haven, CT 06519-1361 |
Second Address | Torrington, CT 06790-6600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2016 |
Last Update Date | 01/03/2021 |