Provider Demographics
NPI:1053562926
Name:RASCATI, SHEREE M (PA)
Entity type:Individual
Prefix:
First Name:SHEREE
Middle Name:M
Last Name:RASCATI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:330 ORCHARD ST.
Mailing Address - Street 2:SUITE 316
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511
Mailing Address - Country:US
Mailing Address - Phone:203-781-3400
Mailing Address - Fax:203-781-3414
Practice Address - Street 1:330 ORCHARD ST.
Practice Address - Street 2:SUITE 316
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511
Practice Address - Country:US
Practice Address - Phone:203-781-3400
Practice Address - Fax:203-781-3414
Is Sole Proprietor?:No
Enumeration Date:2008-10-09
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT002175363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant