Provider Demographics
NPI:1285730960
Name:SRAMCIK, JULIE L (MD)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:L
Last Name:SRAMCIK
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 1:333 CEDAR ST
Mailing Address - Street 2:TMP-3, DEPARTMENT OF ANESTHESIOLOGY
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3206
Mailing Address - Country:US
Mailing Address - Phone:203-785-2802
Mailing Address - Fax:203-785-6897
Practice Address - Street 1:333 CEDAR ST TNP-3
Practice Address - Street 2:YALE DEPT OF ANESTHESIOLOGY
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06520
Practice Address - Country:US
Practice Address - Phone:203-785-2802
Practice Address - Fax:203-785-6897
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH10667207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH10621OtherCIGNA
NH0101595Y0NH01OtherANTHEM BCBS
NH30200388Medicaid
NH30200388Medicaid
NH10621OtherCIGNA