Dacic, Sanja

Dacic, Sanja is an individual health care provider with primary practice located at 310 Cedar Street Ysm Brady Memorial Laboratory, New Haven CT 06520. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Dacic, Sanja can be contacted via phone (203) 785-3624.

Contact Information

Primary practice address
310 Cedar Street Ysm Brady Memorial Laboratory New Haven CT 06520
Phone: (203) 785-3624
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 70365 Connecticut
Other Service Providers / Specialist 174400000X MD072759L Pennsylvania

Profile Details

NPI number 1497727002
LBN Legal business name Dacic, Sanja
Credentials MD,PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Apr 7th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497727002 NPPES
Pennsylvania MEDICAID 001891077

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