Provider Demographics
NPI:1053364422
Name:OSMAN, SARA ANN (MD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:ANN
Last Name:OSMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 339
Mailing Address - Street 2:65 HIGHLAND AVENUE
Mailing Address - City:PEAPACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07977-0339
Mailing Address - Country:US
Mailing Address - Phone:908-234-0011
Mailing Address - Fax:908-234-2635
Practice Address - Street 1:65 HIGHLAND AVENUE
Practice Address - Street 2:
Practice Address - City:PEAPACK
Practice Address - State:NJ
Practice Address - Zip Code:07977-0339
Practice Address - Country:US
Practice Address - Phone:908-234-0011
Practice Address - Fax:908-234-2635
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06764900208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7737408Medicaid
NJ011040Medicare PIN
NJ7737408Medicaid