Individual
SARA REIS TEIXEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
3401 CIVIC CENTER BLVD DEPT OF, PHILADELPHIA, PA 19104-4319
(267) 595-5872
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-5564
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
LT000864
PA
2085P0229X
Pediatric Radiology Physician
Primary
MT222269
PA
Other
Enumeration date
06/29/2020
Last updated
07/14/2021
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