Individual
DR. SARA JANE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1474 MAIN ST, SANFORD, ME 04073-2426
(207) 608-8442
(207) 608-8443
Mailing address
1474 MAIN ST, SANFORD, ME 04073-2426
(207) 608-8442
(207) 608-8443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LT-4027
NH
207R00000X
Internal Medicine Physician
Primary
MD23060
ME
207R00000X
Internal Medicine Physician
ME63783
FL
208000000X
Pediatrics Physician
MD23060
ME
208000000X
Pediatrics Physician
ME63783
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373002600
—
FL
Enumeration date
07/08/2006
Last updated
08/26/2019
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