Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0208X | Pediatric Infectious Diseases | 172544 | NY |
Y | 2080P0208X | Pediatric Infectious Diseases | 25MA10342600 | NJ |
NPI | 1154378990 |
---|---|
Provider Name | Dr. Sarah Anne Rawstron |
First Address | Neptune, NJ 07753-4401 |
Second Address | Brooklyn, NY 11201-5425 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 18/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02267669 | (05) | NY |