Basic Information
Provider Information
NPI: 1497897490
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REID
FirstName: SARAH
MiddleName: CATHERINE
NamePrefix: MRS.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 MUNRO AVE
Address2:  
City: CAPE MAY
State: NJ
PostalCode: 082045000
CountryCode: US
TelephoneNumber: 6098986611
FaxNumber: 6098467160
Practice Location
Address1: 1 MUNRO AVE
Address2:  
City: CAPE MAY
State: NJ
PostalCode: 082045000
CountryCode: US
TelephoneNumber: 6098986611
FaxNumber: 6098467160
Other Information
ProviderEnumerationDate: 02/13/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
246QM0706X  Y Technologists, Technicians & Other Technical Service ProvidersSpec/Tech, PathologyMedical Technologist

No ID Information.


Home