Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 29219 | MA |
NPI | 1699870089 |
---|---|
Provider Name | Stanley R Sakowitz |
First Address | Westboro, MA 01581 |
Second Address | Westboro, MA 01581 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 11/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0176524 | (05) | MA |
029219 | TUFTS HMO (01) | MA |
A36665 | (02) | MA |
B49011 | MISC HMV BCBS (01) |