Provider Demographics
NPI:1699374660
Name:KATZ, SARAH ILANA (PA-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ILANA
Last Name:KATZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11A LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-4657
Mailing Address - Country:US
Mailing Address - Phone:781-576-9996
Mailing Address - Fax:
Practice Address - Street 1:11A LAUREL ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-4657
Practice Address - Country:US
Practice Address - Phone:781-576-9996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant