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Individual

SARAH DAWN D'ANDREA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.C.

Contact information

Practice address
4605 SAWMILL RD, UPPER ARLINGTON, OH 43220-2246
(614) 827-8700
(614) 827-8701
Mailing address
4605 SAWMILL RD, UPPER ARLINGTON, OH 43220-2246
(614) 827-8700
(614) 827-8701

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085002488
IL
363A00000X
Physician Assistant
Primary
50-003036
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0739010001
MEDICARE NSC
IL
01
0739010005
MEDICARE NSC
IL
01
0739010006
MEDICARE NSC
IL
01
0739010008
MEDICARE NSC
IL
01
CL7476
RAILROAD MEDICARE GROUP #
IL
01
P00302661
RR MEDICARE
IL
01
Q67202
UPIN
IL
Enumeration date
08/05/2006
Last updated
06/09/2010
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