Individual
SARA HARCHARIK PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 CHURCH ST S STE 305, NEW HAVEN, CT 06519
(203) 789-1249
Mailing address
333 CEDAR ST DEPT OF, NEW HAVEN, CT 06510-3206
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
61362
CT
207N00000X
Dermatology Physician
CSP.0060452
CT
207R00000X
Internal Medicine Physician
L-259404
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61362
STATE LICENSE
CT
Enumeration date
06/05/2014
Last updated
07/11/2018
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