Healthcare Provider Details

I. General information

NPI: 1831351402
Provider Name (Legal Business Name): SARAH C HULL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2008
Last Update Date: 08/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 CHAPEL ST YALE-NEW HAVEN HOSPITAL
NEW HAVEN CT
06511-4405
US

IV. Provider business mailing address

1450 CHAPEL ST YALE-NEW HAVEN HOSPITAL
NEW HAVEN CT
06511-4405
US

V. Phone/Fax

Practice location:
  • Phone: 203-688-3111
  • Fax:
Mailing address:
  • Phone: 203-688-3111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMT192541
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number052875
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number052875
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: