IndividualActive
Sara Macdonough-Civitello, ATC, LAT
NPI 1801538368 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Hamden, CT
Provider details
- NPI number
- 1801538368
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATC, LAT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 000629 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
275 Mount Carmel Ave
Hamden, CT 06518-1908
Phone: (203) 582-8941
Approximate (ZIP-level) locationGet directions
Mailing address
275 Mount Carmel Ave
Hamden, CT 06518-1908
Registry dates
- Enumerated
- 2022-04-13
- Last updated
- 2022-04-13
- Certified
- 2022-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.