Individual
MRS. SARAH E MCGOULDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 E BROWN ST, EAST STROUDSBURG, PA 18301-3006
(570) 421-4000
Mailing address
200 E BROWN ST, EAST STROUDSBURG, PA 18301-3006
(570) 420-6220
(570) 420-6221
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA058484
PA
363AM0700X
Medical Physician Assistant
Primary
MA058484
PA
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
MA058484
PA
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA058484
PENNSYLVANIA STATE LICENSE
PA
Enumeration date
09/13/2016
Last updated
10/28/2021
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