Provider Demographics
NPI:1366018467
Name:VALVANO, SARAH MARY (PA)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:MARY
Last Name:VALVANO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 NAIRN PL
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-2434
Mailing Address - Country:US
Mailing Address - Phone:973-330-1526
Mailing Address - Fax:
Practice Address - Street 1:1 BETHANY RD STE 85
Practice Address - Street 2:BUILDING 6
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1669
Practice Address - Country:US
Practice Address - Phone:732-264-5005
Practice Address - Fax:732-264-1843
Is Sole Proprietor?:No
Enumeration Date:2021-05-28
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant