Provider Demographics
NPI:1598756744
Name:SIMONETTI, SABRINA R (PA)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:R
Last Name:SIMONETTI
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Gender:F
Credentials:PA
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Mailing Address - Street 1:1650 HUNTINGDON PIKE
Mailing Address - Street 2:SUITE 357
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046-8004
Mailing Address - Country:US
Mailing Address - Phone:215-938-1999
Mailing Address - Fax:215-938-8848
Practice Address - Street 1:1650 HUNTINGDON PIKE
Practice Address - Street 2:SUITE 357
Practice Address - City:MEADOWBROOK
Practice Address - State:PA
Practice Address - Zip Code:19046-8004
Practice Address - Country:US
Practice Address - Phone:215-938-1999
Practice Address - Fax:215-938-8848
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA052575363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant