Provider Demographics
NPI:1235559261
Name:COMMANDER, SARA (MS CGC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:COMMANDER
Suffix:
Gender:F
Credentials:MS CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-3630
Mailing Address - Country:US
Mailing Address - Phone:412-977-9555
Mailing Address - Fax:
Practice Address - Street 1:90 EMERSON LN
Practice Address - Street 2:PERKINELMER GENETICS
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-3473
Practice Address - Country:US
Practice Address - Phone:412-220-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-17
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAGC000017170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS