Provider Demographics
NPI:1063695294
Name:GORAL, MARIA SABSAY (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:SABSAY
Last Name:GORAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:326 WASHINGTON ST
Mailing Address - Street 2:THE WILLIAM W.BACKUS HOSPITAL
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-2740
Mailing Address - Country:US
Mailing Address - Phone:860-885-6420
Mailing Address - Fax:860-892-6984
Practice Address - Street 1:326 WASHINGTON ST
Practice Address - Street 2:THE WILLIAM W.BACKUS HOSPITAL
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2740
Practice Address - Country:US
Practice Address - Phone:860-885-6420
Practice Address - Fax:860-892-6984
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-11
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT047526207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine