Provider Demographics
NPI:1093364606
Name:CONTRACTOR, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:CONTRACTOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:WATCHUNG
Mailing Address - State:NJ
Mailing Address - Zip Code:07069-6054
Mailing Address - Country:US
Mailing Address - Phone:732-207-0144
Mailing Address - Fax:
Practice Address - Street 1:15 ORCHARD RD
Practice Address - Street 2:
Practice Address - City:WATCHUNG
Practice Address - State:NJ
Practice Address - Zip Code:07069-6054
Practice Address - Country:US
Practice Address - Phone:732-207-0144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-06
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator