Individual
SARAH GRACE MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
210 HERITAGE CT, DOWNINGTOWN, PA 19335-1992
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP034339
PA
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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