DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: AMAR SRA

MEDICARE: AMAR SRA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianNACT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1002134338OTHERSTUDENT HEALTH INSURANCE

General Provider Information

NPI Number : 1720736887
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMAR SRA
Provider Business Mailing Address
First Line : 370 BASSETT RD
Second Line :
City : NORTH HAVEN
State : CT
Zip : 06473-4201
Country : US
Telephone Number : 203-582-7766
Fax Number :
Provider Business Practice Location Address
First Line : 370 BASSETT RD
Second Line :
City : NORTH HAVEN
State : CT
Zip : 06473-4201
Country : US
Telephone Number : 203-582-7766
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2022
Last Update Date : 03/16/2022

Similar Medicare Providers

1881861011 — STEVEN A KORN M.D.
Practice Location Address:
370 BASSETT RD , ANTHEM BEHAVIORAL HEALTH
NORTH HAVEN, CT
06473-4201
Practice Phone: 203-985-7639
Practice Fax:
1952667602 — DANIEL SHAN PHARM.D.
Practice Location Address:
370 BASSETT RD
NORTH HAVEN, CT
06473-4201
Practice Phone: 203-234-5492
Practice Fax:
1902269731 — MRS. MEGAN NOSOL M.S., M.S.ED., MHS
Practice Location Address:
370 BASSETT RD
NORTH HAVEN, CT
06473-4201
Practice Phone: 919-641-5565
Practice Fax:
1073148045 — NICOLE GHERLONE
Practice Location Address:
370 BASSETT RD
NORTH HAVEN, CT
06473-4201
Practice Phone: 203-582-7766
Practice Fax:
1487321485 — KAITLYN STOKARSKI
Practice Location Address:
370 BASSETT RD
NORTH HAVEN, CT
06473-4201
Practice Phone: 203-582-5329
Practice Fax:
1952036394 — JOHANNA SULLIVAN PA
Practice Location Address:
370 BASSETT RD
NORTH HAVEN, CT
06473-4201
Practice Phone: 917-435-0238
Practice Fax:

Directions to “ AMAR SRA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.