Basic Information
| Provider Information | |||||||||
| NPI: | 1700835824 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YOUNG-XU | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 79 SWIFTWATER RD | ||||||||
| Address2: | SUITE 3 | ||||||||
| City: | WOODSVILLE | ||||||||
| State: | NH | ||||||||
| PostalCode: | 037851447 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6027473740 | ||||||||
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| Practice Location | |||||||||
| Address1: | 25 MT. EUSTIS ROAD | ||||||||
| Address2: | AMMONOOSUC COMMUNITY HEALTH SERVICES, INC. | ||||||||
| City: | LITTLETON | ||||||||
| State: | NH | ||||||||
| PostalCode: | 035613712 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6034442464 | ||||||||
| FaxNumber: | 6034443441 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/08/2006 | ||||||||
| LastUpdateDate: | 03/03/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | NH11258 | NH | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | OR6211 | 01 | VT | VT MEDICAID | OTHER | 30201859 | 05 | NH | MEDICAID |