Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 054942 | CT |
Y | 208600000X | Surgeon | 054942 | CT |
N | 208200000X | Surgeon | 10976 | ND |
N | 208600000X | Surgeon | 10976 | ND |
N | 2086X0206X | Surgical Oncologist | 054942 | CT |
N | 2086X0206X | Surgical Oncologist | 2002013623 | MO |
N | 2086X0206X | Surgical Oncologist | P3815 | TX |
NPI | 1407802929 |
---|---|
Provider Name | Edward R. Sauter |
First Address | Farmington, CT 06032-1936 |
Second Address | Farmington, CT 06032-1936 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 28/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E96010 | (02) | MO |