Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 65362 | CT |
Y | 207YP0228X | Pediatric Otolaryngology | 65362 | CT |
NPI | 1942627187 |
---|---|
Provider Name | Dr. Sarah Maurrasse |
First Address | New Haven, CT 06510-3209 |
Second Address | New Haven, CT 06510-3220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2014 |
Last Update Date | 17/09/2020 |