| Doctor Name: | SARA J RIDER |
| NPI Number: | 1336246586 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PAC |
| License Number: | PA1257 |
| Business Practice Address: | 238 Northampton St Easthampton Health Center Easthampton, MA - 010271046 |
| Business Phone Number: | 4135299300 |
| Business Fax Number: | 4135277517 |
| Mailing Address: | Po Box 5700, BELFAST |
| State: | ME |
| Postal Code: | 049155700 |
| Phone Number: | 8664314077 |
| Fax Number: | 4137747448 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 10/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA1257 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |