Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 20630 | MA |
NPI | 1073543005 |
---|---|
Provider Name | Dr. Ramzi Antoine Sarkis |
First Address | Lexington, MA 02421-8019 |
Second Address | Lexington, MA 02421-8019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 01/10/2015 |