Provider Demographics
NPI:1740303288
Name:MAXWELL, SARAH J (PA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:MAXWELL
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Gender:F
Credentials:PA
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Mailing Address - Street 1:130 SUTTER ST
Mailing Address - Street 2:FL 2
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-4009
Mailing Address - Country:US
Mailing Address - Phone:415-291-0480
Mailing Address - Fax:415-291-0489
Practice Address - Street 1:110 SUTTER ST STE 200
Practice Address - Street 2:METROPOLITAN MEDICAL GROUP
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-4008
Practice Address - Country:US
Practice Address - Phone:415-291-0480
Practice Address - Fax:415-291-0489
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2016-07-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA19114363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPA 19114OtherLICENSE NO.