Individual
SARAH G DEMICHELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3535 MARKET ST, 2ND FLOOR, PHILADELPHIA, PA 19104
(215) 746-6700
(215) 746-7319
Mailing address
3624 MARKET STREET, SUITE 560W UPHS OFFICE OF MEDICAL AFFAIRS, PHILADELPHIA, PA 19104
(215) 662-2286
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD0570046L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016588T10002
—
PA
Enumeration date
06/24/2006
Last updated
07/08/2007
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