Provider Demographics
NPI:1265645188
Name:PASSERO, SARA C
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:C
Last Name:PASSERO
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 1:3130 GRIEST AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-2432
Mailing Address - Country:US
Mailing Address - Phone:513-871-3135
Mailing Address - Fax:
Practice Address - Street 1:3130 GRIEST AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-2432
Practice Address - Country:US
Practice Address - Phone:513-871-3135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist