Provider Demographics
NPI:1356631998
Name:SIERRA, TANIA S (MD)
Entity type:Individual
Prefix:
First Name:TANIA
Middle Name:S
Last Name:SIERRA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:160 HAWLEY LN STE 2
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-5387
Mailing Address - Country:US
Mailing Address - Phone:203-375-3456
Mailing Address - Fax:
Practice Address - Street 1:52 BEACH RD STE 205
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-6017
Practice Address - Country:US
Practice Address - Phone:475-330-6406
Practice Address - Fax:475-330-6405
Is Sole Proprietor?:No
Enumeration Date:2011-04-16
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT62554207VF0040X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery