Healthcare Provider Details

I. General information

NPI: 1821524760
Provider Name (Legal Business Name): SARAH WATT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 ORLEANS ST STE 11379
BALTIMORE MD
21287-0010
US

IV. Provider business mailing address

1800 ORLEANS ST STE 11379
BALTIMORE MD
21287-0010
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-8751
  • Fax: 410-955-0028
Mailing address:
  • Phone: 410-955-8751
  • Fax: 410-955-0028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number80712
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: