Individual
DR. SARA ANN CASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
62 OLD FORGE HOLLOW RD, BANTAM, CT 06750-1315
(860) 567-8460
(860) 567-8460
Mailing address
62 OLD FORGE HOLLOW RD, BANTAM, CT 06750-1315
(860) 567-8460
(860) 567-8460
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
027169
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001271691
—
CT
01
—
1003903956
NPI NUMBER
—
05
—
1003903956
—
CT
01
—
P00759522
MEDICARE RAILROAD
CT
Enumeration date
10/10/2006
Last updated
03/27/2015
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