Provider Demographics
NPI:1083330591
Name:DOWNIE, SARA JESSICA (PA, MPH)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:JESSICA
Last Name:DOWNIE
Suffix:
Gender:F
Credentials:PA, MPH
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Mailing Address - Street 1:3737 MARKET ST
Mailing Address - Street 2:PMUC
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-5545
Mailing Address - Country:US
Mailing Address - Phone:856-264-1549
Mailing Address - Fax:
Practice Address - Street 1:3737 MARKET STREET
Practice Address - Street 2:4TH FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-5544
Practice Address - Country:US
Practice Address - Phone:856-264-1549
Practice Address - Fax:302-733-5640
Is Sole Proprietor?:No
Enumeration Date:2022-10-17
Last Update Date:2024-09-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA064001363A00000X
NJ25MP00736500363A00000X
PAOA006256363A00000X
DEC5-0011815363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant