Healthcare Provider Details

I. General information

NPI: 1679770077
Provider Name (Legal Business Name): SARA NICOLE PAGLIARO DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2007
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3906 CHURCH RD
MOUNT LAUREL NJ
08054-1108
US

IV. Provider business mailing address

3906 CHURCH RD
MOUNT LAUREL NJ
08054-1108
US

V. Phone/Fax

Practice location:
  • Phone: 856-596-1600
  • Fax: 856-552-3268
Mailing address:
  • Phone: 856-596-1600
  • Fax: 856-552-3268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberOS026018
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number25MB08467300
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number25MB08467300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: