Provider Demographics
NPI:1962437657
Name:SANZONE, ERIN F (PA-C)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:F
Last Name:SANZONE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1579 STRAITS TPKE STE E
Mailing Address - Street 2:ORTHOPAEDICS NEW ENGLAND PC
Mailing Address - City:MIDDLEBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06762-1835
Mailing Address - Country:US
Mailing Address - Phone:203-598-0700
Mailing Address - Fax:877-345-6922
Practice Address - Street 1:1579 STRAITS TPKE STE E
Practice Address - Street 2:ORTHOPAEDICS NEW ENGLAND PC
Practice Address - City:MIDDLEBURY
Practice Address - State:CT
Practice Address - Zip Code:06762-1835
Practice Address - Country:US
Practice Address - Phone:203-598-0700
Practice Address - Fax:877-345-6922
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT000728363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
S53490Medicare UPIN
970001266Medicare PIN