Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 40782 | CT |
Y | 111NI0900X | Internist | 40782 | CT |
N | 207RA0401X | Internist - Addiction Medicine | 40782 | CT |
N | 207RI0200X | Infectious Disease | 040782 | CT |
NPI | 1326021890 |
---|---|
Provider Name | Dr. Sandra Ann Springer |
First Address | New Haven, CT 06511-5991 |
Second Address | New Haven, CT 06510-3221 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2005 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001407825 | (05) | CT |
008073748 | (05) | CT |
I17690 | (02) |