MEDICARE: MS. SARAH KEILSY JOSEPH PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	7624	CT

General Provider Information

NPI Number	:	1427904523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARAH KEILSY JOSEPH PA-C

Provider Business Mailing Address
First Line	:	12 CUSTER ST
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06902-3128
Country	:	US
Telephone Number	:	203-561-3731
Fax Number	:

Provider Business Practice Location Address
First Line	:	12 CUSTER ST
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06902-3128
Country	:	US
Telephone Number	:	203-561-3731
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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