Provider Demographics
NPI:1740396738
Name:WOO, SARA HAZLETT (MD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:HAZLETT
Last Name:WOO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:BRADSHAW
Other - Last Name:HAZLETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:44045 RIVERSIDE PKWY
Mailing Address - Street 2:LOUDOUN HOSPITAL CENTER
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-5101
Mailing Address - Country:US
Mailing Address - Phone:703-858-6044
Mailing Address - Fax:703-858-6775
Practice Address - Street 1:44045 RIVERSIDE PKWY
Practice Address - Street 2:LOUDOUN HOSPITAL CENTER
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-5101
Practice Address - Country:US
Practice Address - Phone:703-858-6044
Practice Address - Fax:703-858-6775
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101238758207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA011658C77Medicare PIN