Individual
MRS. SARAH DIANNE WEINMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
214 STATE ST, HACKENSACK, NJ 07601-5500
(201) 342-7662
Mailing address
7205 COVENTRY CT, RIVERDALE, NJ 07457-1636
(413) 426-2570
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00421100
NJ
363AM0700X
Medical Physician Assistant
Primary
PA5483
MA
363AS0400X
Surgical Physician Assistant
25MP00421100
NJ
Other
Enumeration date
09/22/2015
Last updated
12/27/2016
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