Provider Demographics
NPI:1710169065
Name:SAJO, MYRLA L (MD)
Entity Type:Individual
Prefix:
First Name:MYRLA
Middle Name:L
Last Name:SAJO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1000 ASYLUM AVE
Mailing Address - Street 2:SUITE 2112
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-1770
Mailing Address - Country:US
Mailing Address - Phone:860-714-5895
Mailing Address - Fax:860-714-5417
Practice Address - Street 1:1000 ASYLUM AVE
Practice Address - Street 2:SUITE 2112
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105
Practice Address - Country:US
Practice Address - Phone:860-714-4903
Practice Address - Fax:860-714-8099
Is Sole Proprietor?:No
Enumeration Date:2007-11-28
Last Update Date:2021-11-11
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Provider Licenses
StateLicense IDTaxonomies
IL036131593207RI0200X
CT48637207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease