Provider Demographics
NPI:1609290337
Name:GELLIS, SARA FRANCI (DO)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:FRANCI
Last Name:GELLIS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:GELLIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:249 STATE RT 94
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:NJ
Mailing Address - Zip Code:07462-3327
Mailing Address - Country:US
Mailing Address - Phone:973-827-4550
Mailing Address - Fax:973-827-5845
Practice Address - Street 1:249 STATE RT 94
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:NJ
Practice Address - Zip Code:07462-3327
Practice Address - Country:US
Practice Address - Phone:973-827-4550
Practice Address - Fax:973-827-5845
Is Sole Proprietor?:No
Enumeration Date:2014-02-17
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY273579-1207Q00000X
NJ25MB10032700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine