Provider Demographics
NPI:1700835824
Name:YOUNG-XU, SARAH (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:YOUNG-XU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 SWIFTWATER RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WOODSVILLE
Mailing Address - State:NH
Mailing Address - Zip Code:03785-1447
Mailing Address - Country:US
Mailing Address - Phone:602-747-3740
Mailing Address - Fax:
Practice Address - Street 1:25 MT. EUSTIS ROAD
Practice Address - Street 2:AMMONOOSUC COMMUNITY HEALTH SERVICES, INC.
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-3712
Practice Address - Country:US
Practice Address - Phone:603-444-2464
Practice Address - Fax:603-444-3441
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH11258207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTOR6211OtherVT MEDICAID
NH30201859Medicaid
NH30201859Medicaid
NHRE6211Medicare PIN