Provider Demographics
NPI:1538388608
Name:COCA, SARA L S (MD)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:L S
Last Name:COCA
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 1:36 GROVE STREET
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:NEW CANAAN
Mailing Address - State:CT
Mailing Address - Zip Code:06840-5329
Mailing Address - Country:US
Mailing Address - Phone:203-276-4282
Mailing Address - Fax:203-276-8585
Practice Address - Street 1:36 GROVE STREET
Practice Address - Street 2:1ST FLOOR
Practice Address - City:NEW CANAAN
Practice Address - State:CT
Practice Address - Zip Code:06840-5329
Practice Address - Country:US
Practice Address - Phone:203-276-4282
Practice Address - Fax:203-276-8585
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT045297207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology