Provider Demographics
NPI:1154378990
Name:RAWSTRON, SARAH ANNE (MB,BS)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ANNE
Last Name:RAWSTRON
Suffix:
Gender:F
Credentials:MB,BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 DAVIS AVE
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-4401
Mailing Address - Country:US
Mailing Address - Phone:718-250-6955
Mailing Address - Fax:718-250-8735
Practice Address - Street 1:121 DEKALB AVE
Practice Address - Street 2:THE BROOKLYN HOSPITAL CENTER, DEPARTMENT OF PEDIATRICS
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5425
Practice Address - Country:US
Practice Address - Phone:718-250-6955
Practice Address - Fax:718-250-8735
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA103426002080P0208X
NY1725442080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02267669Medicaid