MEDICARE: MRS. SARAH WERNER WATSON PA

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
1	207XS0117X	Orthopaedic Surgery of the Spine Physician	001445	CT

General Provider Information

NPI Number	:	1790890168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH WERNER WATSON PA

Provider Business Mailing Address
First Line	:	PO BOX 1802
Second Line	:
City	:	LITCHFIELD
State	:	CT
Zip	:	06759-1802
Country	:	US
Telephone Number	:	860-567-1011
Fax Number	:	860-350-2224

Provider Business Practice Location Address
First Line	:	9 EAST ST
Second Line	:
City	:	LITCHFIELD
State	:	CT
Zip	:	06759-3601
Country	:	US
Telephone Number	:	860-567-1011
Fax Number	:	860-350-2224

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	09/30/2013

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