Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 61904 | CT |
NPI | 1053660225 |
---|---|
Provider Name | Dr. Sara Naureen Dost |
First Address | Farmington, CT 06032-1956 |
Second Address | Farmington, CT 06032-1956 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2012 |
Last Update Date | 13/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
61904 | LICENSE (01) | CT |