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NPI Code Detail

MEDICARE: DR. SANDRA I ESCALERA MD

MEDICARE: DR. SANDRA I ESCALERA MD
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
12080P0206XPediatric Gastroenterology Physician035579CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669451530
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANDRA I ESCALERA MD
Provider Business Mailing Address
First Line : PO BOX 206084
Second Line :
City : NEW HAVEN
State : CT
Zip : 06520-6084
Country : US
Telephone Number : 203-785-4649
Fax Number : 203-737-1384
Provider Business Practice Location Address
First Line : 1 PARK ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06504-8901
Country : US
Telephone Number : 203-785-4649
Fax Number : 203-737-1384
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2006
Last Update Date : 04/06/2022

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Directions to “ DR. SANDRA I ESCALERA MD” Practice Location

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