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: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1787 SENTRY PKWY W STE 400
BLUE BELL PA
19422-2240
US

IV. Provider business mailing address

1787 SENTRY PKWY W STE 400
BLUE BELL PA
19422-2240
US

V. Phone/Fax

Practice location:
  • Phone: 215-542-3000
  • Fax:
Mailing address:
  • Phone: 215-542-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS026018
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: