Provider Demographics
NPI:1285621458
Name:VITERI, SARA (MD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:VITERI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 KENSINGTON AVE
Mailing Address - Street 2:GROVE HILL MEDICAL CENTER
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-3916
Mailing Address - Country:US
Mailing Address - Phone:860-224-6282
Mailing Address - Fax:860-826-4959
Practice Address - Street 1:300 KENSINGTON AVE
Practice Address - Street 2:GROVE HILL MEDICAL CENTER
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-3916
Practice Address - Country:US
Practice Address - Phone:860-224-6282
Practice Address - Fax:860-826-4959
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT040491208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT010040491CT01OtherBCBS & BCFP ID PLAINVILLE
CT007942OtherCONNECTICARE
CT010040491CT00OtherBCBS & BCFP NEW BRITAIN
CT9321777OtherCIGNA
CT1255448155OtherGHMC GROUP NPI ID
CT2942550OtherAETNA
CT224603OtherWELLCARE MEDICARE NB
CTP839936OtherOXFORD
CT2V1892OtherHEALTH NET
CT368735OtherWELLCARE MEDICARE PLAINVI
CT010040491CT01OtherBCBS & BCFP ID PLAINVILLE
CT9321777OtherCIGNA