Healthcare Provider Details

I. General information

NPI: 1306291281
Provider Name (Legal Business Name): SARAH JEAN MATTHEWS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2016
Last Update Date: 02/05/2023
Certification Date: 02/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4755 OGLETOWN STANTON RD
NEWARK DE
19718-1462
US

IV. Provider business mailing address

607 E POLARIS LN
MILTON DE
19968-9789
US

V. Phone/Fax

Practice location:
  • Phone: 302-733-4186
  • Fax:
Mailing address:
  • Phone: 302-547-5420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberC1-0013760
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: