Healthcare Provider Details

I. General information

NPI: 1548743875
Provider Name (Legal Business Name): SARAH ANN SOIFERT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH ANN KENNEY

II. Dates (important events)

Enumeration Date: 09/12/2018
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300A FAUNCE CORNER RD
NORTH DARTMOUTH MA
02747-1280
US

IV. Provider business mailing address

200 MILL RD
FAIRHAVEN MA
02719-5252
US

V. Phone/Fax

Practice location:
  • Phone: 508-973-2213
  • Fax: 508-973-1185
Mailing address:
  • Phone: 508-973-2000
  • Fax: 508-973-2001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1422
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number StateNH
# 3
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA101261
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: