Individual
SARAH E KOONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
299 WASHINGTON ST, NEWTON, MA 02458-1612
(617) 219-6300
(617) 219-6366
Mailing address
299 WASHINGTON ST, NEWTON, MA 02458-1612
(617) 219-6300
(617) 219-6366
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA4085
MA
Other
Enumeration date
10/25/2010
Last updated
04/19/2011
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