Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 051372 | CT |
NPI | 1396736476 |
---|---|
Provider Name | Dr. Mary Sarrantonio |
First Address | Norwalk, CT 06851-4647 |
Second Address | Norwalk, CT 06851-4647 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2005 |
Last Update Date | 26/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
008041802 | (05) | CT |