Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 267535 | MA |
N | 111NI0900X | Internist | 267535 | MA |
Y | 2084N0400X | Neurologist | 304034 | NY |
NPI | 1003260761 |
---|---|
Provider Name | Elie Sader |
First Address | Boston, MA 02118-2526 |
Second Address | Boston, MA 02118-2526 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2016 |
Last Update Date | 14/05/2021 |