Individual
SARAH L MCAULIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
121 MEDICAL VILLAGE DR, NEWPORT, VT 05855-9834
(802) 334-5929
Mailing address
121 MEDICAL VILLAGE DR, NEWPORT, VT 05855-9834
(802) 334-5929
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042.0014294
VT
208000000X
Pediatrics Physician
35.132338
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0292584
—
OH
05
—
6700659
—
VT
01
—
Y400593365
MEDICARE PTAN
VT
Enumeration date
03/26/2015
Last updated
07/01/2021
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