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Individual

MRS. POLLY SATHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
20 YORK ST, THORACIC ONCOLOGY, NEW HAVEN, CT 06510-3220
(203) 200-5864
(203) 200-5864
Mailing address
300 GEORGE ST, YALE MEDICAL GROUP, NEW HAVEN, CT 06511-6624
(203) 200-5864
(203) 688-3501

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
002673
CT
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
061910
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
061910
APRN STATE LICENSE
CT
Enumeration date
04/03/2007
Last updated
09/04/2014
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