Individual
SARA E MEDUNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
11058 E RAINTREE DR, SCOTTSDALE, AZ 85255-1809
(610) 509-5115
Mailing address
11058 E RAINTREE DR, SCOTTSDALE, AZ 85255-1809
(610) 509-5115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB07846300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072796
—
NJ
Enumeration date
10/03/2005
Last updated
08/23/2022
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