Individual
DR. SARETA MARIE COUBAROUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
610 YORK RD STE 400, JENKINTOWN, PA 19046-2866
(215) 531-0132
(215) 887-3869
Mailing address
610 YORK RD STE 400, JENKINTOWN, PA 19046-2866
(215) 531-0132
(215) 887-3869
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
25MB08055900
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MB08055900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136099ZAJ
MEDICARE
DE
01
—
136105ZACG
MEDICARE
MD
Enumeration date
04/06/2006
Last updated
04/27/2023
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