Healthcare Provider Details

I. General information

NPI: 1497722326
Provider Name (Legal Business Name): SARAH E. YADLOSKY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH E. CEBULAR PA-C

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 11/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 OSTRUM ST SUITE 601
FOUNTAIN HILL PA
18015-1155
US

IV. Provider business mailing address

701 OSTRUM ST SUITE 601
FOUNTAIN HILL PA
18015-1155
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-6545
  • Fax: 484-526-6546
Mailing address:
  • Phone: 484-526-6545
  • Fax: 484-526-6546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA052406
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: