Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SARA ELIZABETH MACDONOUGH-CIVITELLO, ATC, LAT
Active Sole ProprietorSARA ELIZABETH MACDONOUGH-CIVITELLO, ATC, LAT is a Sports Medicine (PM&R) healthcare provider located in HAMDEN, Connecticut. NPI 1801538368 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · HAMDEN, CT
Registration Details
- NPI Number
- 1801538368
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 13, 2022 (4.295638265006 yrs)
- Last Updated
- Apr 13, 2022
- License
-
000629 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
275 MOUNT CARMEL AVEHAMDEN, CT, 065181908Browse CT providers · Browse ZIP 06518
- Phone
- 2035828941
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.