Individual
SASA IVANOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
7 BRIDLE PATH TRL, NEWTOWN, CT 06470-2208
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
73108
CT
208M00000X
Hospitalist Physician
73108
CT
Other
Enumeration date
05/07/2015
Last updated
02/12/2024
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