Provider Demographics
NPI:1376886713
Name:VIOLA, SARA ROSENAU (MD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ROSENAU
Last Name:VIOLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 HOSPITAL DR STE 121
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-5706
Mailing Address - Country:US
Mailing Address - Phone:410-553-8240
Mailing Address - Fax:
Practice Address - Street 1:100 HAVEN AVE
Practice Address - Street 2:APT 29A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-2645
Practice Address - Country:US
Practice Address - Phone:267-229-1019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-04
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD81126207R00000X, 207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine