Dr. Sareta Marie Coubarous
Physical Medicine & Rehabilitation Doctor Neuromusculoskeletal Medicine (NMM)
100 Biddle Ave Ste 101
Newark
, Delaware 19702-3981
Dr. Sareta Marie Coubarous
Physical Medicine & Rehabilitation Doctor Neuromusculoskeletal Medicine (NMM)
100 Biddle Ave Ste 101
Newark
, Delaware 19702-3981
(215) 548-6194
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. Sareta Marie Coubarous
- 1513 Clearview St
- Philadelphia, PA
- Zip : 19141-2303
- Fax : (215) 548-6194
- Phone : (267) 879-9260
Second Address
- Dr. Sareta Marie Coubarous
- 100 Biddle Ave Ste 101
- Newark, DE
- Zip : 19702-3981
- Fax : (302) 392-3380
- Phone : (302) 392-6501
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 25MB08055900 | NJ |
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 25MB08055900 | NJ |
National Provider Identifier
| NPI | 1558323196 |
|---|---|
| Provider Name | Dr. Sareta Marie Coubarous |
| First Address | Philadelphia, PA 19141-2303 |
| Second Address | Newark, DE 19702-3981 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/04/2006 |
| Last Update Date | 15/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 136099ZAJ | MEDICARE (01) | DE |
| 136105ZACG | MEDICARE (01) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.