Individual
SABRINA R DEPUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 215, ALLENTOWN, PA 18103-6271
(610) 402-6986
(610) 402-4460
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 330-1377
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA063735
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA063735
STATE LICENSE
PA
Enumeration date
07/27/2022
Last updated
07/27/2022
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