Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | 25MB10586800 | NJ |
NPI | 1619238383 |
---|---|
Provider Name | Dr. Sarah Sertial Paul |
First Address | Boston, MA 02241-6457 |
Second Address | Morristown, NJ 07960 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2012 |
Last Update Date | 31/07/2019 |