Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 62554 | CT |
Y | 207VG0400X | Gynecologist | 62554 | CT |
NPI | 1356631998 |
---|---|
Provider Name | Tania S Sierra |
First Address | Trumbull, CT 06611-5387 |
Second Address | Trumbull, CT 06611-5387 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2011 |
Last Update Date | 08/01/2020 |