| Doctor Name: | DR. SARAH J. WISTREICH |
| NPI Number: | 1518237452 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 223378948 |
| Business Practice Address: | 1401 Whitehorse Mercerville Road Suite 220 Hamilton, NJ - 086193834 |
| Business Phone Number: | 6095885059 |
| Business Fax Number: | 6095288868 |
| Mailing Address: | P.o. Box 8500-8482, PHILADELPHIA |
| State: | PA |
| Postal Code: | 191788482 |
| Phone Number: | 6098157829 |
| Fax Number: | 6098157814 |
| NPI Enumeration Date: | 01/10/2012 |
| NPI Last Update Date: | 11/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 223378948 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |