Provider Demographics
NPI:1326000860
Name:CHIRNOMAS, SARAH DEBORAH (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:DEBORAH
Last Name:CHIRNOMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DEBBIE
Other - Middle Name:
Other - Last Name:HURWITZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6 TUCKER MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06525-1943
Mailing Address - Country:US
Mailing Address - Phone:617-721-4434
Mailing Address - Fax:
Practice Address - Street 1:333 CEDAR ST
Practice Address - Street 2:2073 LMP
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3206
Practice Address - Country:US
Practice Address - Phone:203-785-4640
Practice Address - Fax:203-737-2228
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2197212080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2102781OtherMASSHEALTH
219721OtherTUFTS
MAJ28405OtherMA BLUE CROSS BLUE SHIELD
J28405OtherINDEMNITY
J28405OtherBC ELECT
J28405OtherHMO BLUE
MA2102781Medicaid
MAJ28405OtherMA BLUE CROSS BLUE SHIELD
H40030Medicare UPIN