Individual
SARA HENEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2504
Mailing address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2504
(973) 754-3013
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
2018031089
MO
2080P0206X
Pediatric Gastroenterology Physician
Primary
25MA12240100
NJ
Other
Enumeration date
07/22/2015
Last updated
01/13/2025
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