Individual
DR. SARAH CANAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
196 WATERFORD PKWY S STE 306, WATERFORD, CT 06385-1234
(604) 472-4898
(860) 737-1231
Mailing address
410 SAYBROOK RD, SUITE 201, MIDDLETOWN, CT 06457-4777
(860) 347-4620
(860) 346-9687
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
042602
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851488621
—
CT
Enumeration date
10/05/2006
Last updated
06/03/2019
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