Individual
SARAH J EASAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD LLC
Contact information
Practice address
1255 ROUTE 70, 31 S, LAKEWOOD, NJ 08701-5900
(732) 961-0010
(732) 961-0013
Mailing address
1255 ROUTE 70, 31 S, LAKEWOOD, NJ 08701-5900
(732) 961-0010
(732) 961-0013
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA06274500
NJ
207RH0000X
Hematology (Internal Medicine) Physician
25MA06274500
NJ
207RX0202X
Medical Oncology Physician
Primary
MA62745
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221900628
UNITED HEALTHCARE CIGNA
—
01
—
2223293
AETNA
—
01
—
P1112299
OXFORD
—
Enumeration date
08/17/2005
Last updated
04/11/2024
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