Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 281550 | MA |
NPI | 1033438031 |
---|---|
Provider Name | Sara Ann Mayer |
First Address | Minneapolis, MN 55406-3146 |
Second Address | Burlington, MA 01805-0341 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2010 |
Last Update Date | 04/11/2019 |