Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 247112 | MA |
Y | 2081P2900X | Pain Medicine | 247112 | MA |
N | 2081S0010X | Sports Medicine | 247112 | MA |
N | 213ES0000X | Sports Medicine | 247112 | MA |
NPI | 1265648745 |
---|---|
Provider Name | Tomoya Sakai |
First Address | Dedham, MA 02026-1765 |
Second Address | Dedham, MA 02026-1765 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 14/12/2011 |