Provider Demographics
NPI:1508430679
Name:MARX, SARA KATHERINE (CPM)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:KATHERINE
Last Name:MARX
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 RAYMOND CT
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:ME
Mailing Address - Zip Code:04530-2404
Mailing Address - Country:US
Mailing Address - Phone:443-615-4346
Mailing Address - Fax:
Practice Address - Street 1:48 FRONT ST STE 208
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:ME
Practice Address - Zip Code:04530-2524
Practice Address - Country:US
Practice Address - Phone:207-200-7317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECPM697176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife