Healthcare Provider Details

I. General information

NPI: 1295940526
Provider Name (Legal Business Name): SARAH SPITALNY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 08/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 SHADY RETREAT ROAD SUITE 3-4
DOYLESTOWN PA
18901
US

IV. Provider business mailing address

708 SHADY RETREAT ROAD SUITE 3-4
DOYLESTOWN PA
18901
US

V. Phone/Fax

Practice location:
  • Phone: 215-345-6090
  • Fax: 215-345-6119
Mailing address:
  • Phone: 215-345-6090
  • Fax: 215-345-6119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD431143
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierMD431143
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerSTATE LICENSE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: