Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VE0102X | Reproductive Endocrinologist | 018303 | ME |
N | 207VE0102X | Reproductive Endocrinologist | 8298 | NH |
N | 207VG0400X | Gynecologist | 018303 | ME |
Y | 207VG0400X | Gynecologist | 4301111273 | MI |
N | 207VG0400X | Gynecologist | 8298 | NH |
NPI | 1164468484 |
---|---|
Provider Name | Dr. Robert A. Sasso |
First Address | Saginaw, MI 48602-5303 |
Second Address | Saginaw, MI 48602-5303 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 31/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C36937 | (02) | NH |