NPI 1184632853 · live from the CMS NPI Registry
Sarah E. Beres, PA
Physician Assistant, Medical in New Haven, CT. National Provider Identifier 1184632853, active.
NPI record
| NPI | 1184632853 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 1450 Chapel St, Saint Raphael Faculty Physicians, New Haven, CT 06511 |
| Practice phone | 203-789-4074 |
| Mailing address | Po Box 1951, Saint Raphael Faculty Physicians, Brattleboro, VT 05302 |
| Enumerated | August 4, 2006 |
| Last updated | September 12, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 001627 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.