Provider Demographics
NPI:1649339433
Name:BACHRACH, SARAH R (PA-C)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:R
Last Name:BACHRACH
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:10 GOVE ST
Mailing Address - Street 2:EAST BOSTON NEIGHBORHOOD HEALTH CENTER
Mailing Address - City:EAST BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02128-1920
Mailing Address - Country:US
Mailing Address - Phone:617-719-3452
Mailing Address - Fax:617-568-4665
Practice Address - Street 1:10 GOVE ST
Practice Address - Street 2:EAST BOSTON NEIGHBORHOOD HEALTH CENTER
Practice Address - City:EAST BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02128-1920
Practice Address - Country:US
Practice Address - Phone:617-719-3452
Practice Address - Fax:617-568-4665
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2012-03-28
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Provider Licenses
StateLicense IDTaxonomies
MA206363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical