Healthcare Provider Details

I. General information

NPI: 1326000860
Provider Name (Legal Business Name): SARAH DEBORAH CHIRNOMAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBBIE HURWITZ

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 08/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 CEDAR ST 2073 LMP
NEW HAVEN CT
06510-3206
US

IV. Provider business mailing address

6 TUCKER MEADOW RD
WOODBRIDGE CT
06525-1943
US

V. Phone/Fax

Practice location:
  • Phone: 203-785-4640
  • Fax: 203-737-2228
Mailing address:
  • Phone: 617-721-4434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number219721
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: