Provider Demographics
NPI:1912047705
Name:ROSEN, SARA V (MD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:V
Last Name:ROSEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:LYNNE
Other - Last Name:VIEWEG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:105 GOTHARD RD
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-5740
Mailing Address - Country:US
Mailing Address - Phone:410-532-5473
Mailing Address - Fax:
Practice Address - Street 1:105 GOTHARD RD
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-5740
Practice Address - Country:US
Practice Address - Phone:410-532-5473
Practice Address - Fax:410-532-5473
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2016-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00668862084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry