Doctor Name: | MRS. SARAH FERRARI ROTZ |
NPI Number: | 1043487705 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP |
License Number: | 254541 |
Business Practice Address: | 326 Cherry St Unit 1 West Newton, MA - 02465 |
Business Phone Number: | 6175480347 |
Business Fax Number: | |
Mailing Address: | 326 Cherry St, Unit 1 WEST NEWTON |
State: | MA |
Postal Code: | 024651642 |
Phone Number: | 6175480347 |
Fax Number: | |
NPI Enumeration Date: | 05/13/2008 |
NPI Last Update Date: | 05/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 254541 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |