Individual
SARAH DEMTRAK ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 LAKE AVE N, CARE OF TIM LAVERTY, ROOM H2-310, WORCESTER, MA 01655-0002
(508) 856-3051
Mailing address
55 LAKE AVE N, CARE OF TIM LAVERTY, ROOM H2-310, WORCESTER, MA 01655-0002
(508) 856-3051
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
605
MA
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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