Provider Demographics
NPI:1407364698
Name:TANGERT, SARAH (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:TANGERT
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:367 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:PA
Mailing Address - Zip Code:17517-1447
Mailing Address - Country:US
Mailing Address - Phone:717-330-5800
Mailing Address - Fax:
Practice Address - Street 1:1245 HIGHLAND AVE STE 404
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3725
Practice Address - Country:US
Practice Address - Phone:215-887-2010
Practice Address - Fax:215-887-3291
Is Sole Proprietor?:No
Enumeration Date:2018-01-22
Last Update Date:2018-03-17
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant