Individual
SANDRA CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 SARGENT DR, NEW HAVEN, CT 06511-6100
(203) 785-4708
Mailing address
150 SARGENT DR, NEW HAVEN, CT 06511-6100
(203) 785-4708
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
45526
CT
207VE0102X
Reproductive Endocrinology Physician
MD12285
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760562
—
RI
Enumeration date
10/17/2006
Last updated
07/31/2019
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