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Individual

SARA ELIZABETH MACDONOUGH-CIVITELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
275 MOUNT CARMEL AVE, HAMDEN, CT 06518-1908
(203) 582-8941
Mailing address
275 MOUNT CARMEL AVE, HAMDEN, CT 06518-1908
(203) 582-8941

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
000629
CT

Other

Enumeration date
04/13/2022
Last updated
04/13/2022
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