Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 2331 | MA |
NPI | 1013125988 |
---|---|
Provider Name | Dr. Anthony L. Sarage |
First Address | E Longmeadow, MA 01028-1815 |
Second Address | E Longmeadow, MA 01028-1815 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 10/12/2013 |