Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 235346 | MA |
N | 111NI0900X | Internist | 235346 | MA |
N | 207RH0000X | Hematologist | 051949 | CT |
Y | 207RX0202X | Medical Oncology | 051949 | CT |
NPI | 1033386891 |
---|---|
Provider Name | Sarah Schellhorn Mougalian |
First Address | New Haven, CT 06511-6624 |
Second Address | New Haven, CT 06510-3206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2008 |
Last Update Date | 09/08/2013 |