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Individual

SARA A ABBRUZZI

Active
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Individual

SARA A ABBRUZZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS012350
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1021731200003
PA
01
1616702
HIGHMARK BLUE SHIELD
PA
01
2294733000
IBC
PA
01
3012444
KEYSTONE FIRST
PA
Enumeration date
08/12/2006
Last updated
09/17/2013
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