NPI | 1710260724 |
---|---|
Former Name | SARAH ANN MAZUROWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NJ 25MP00396600) |
Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: NJ 25MP00396600) |
363AM0700X Physician Assistant Medical (Licence: PA MA057532) | |
363AM0700X Physician Assistant Medical (Licence: NC 001003117) | |
Enumeration Date | 2011-09-26 |
Last Update Date | 2024-10-02 |