Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | MD471425 | PA |
NPI | 1003279142 |
---|---|
Provider Name | Dr. Sarah Todd |
First Address | Bryn Mawr, PA 19010-1602 |
Second Address | West Chester, PA 19380-4440 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2016 |
Last Update Date | 12/08/2020 |