Provider Demographics
NPI:1225024201
Name:SWEENEY, ANN T (MD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:T
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:736 CAMBRIDGE ST
Mailing Address - Street 2:CMP 5
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135
Mailing Address - Country:US
Mailing Address - Phone:617-789-2464
Mailing Address - Fax:617-562-7932
Practice Address - Street 1:11 NEVINS ST.
Practice Address - Street 2:SUITE 202
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135
Practice Address - Country:US
Practice Address - Phone:617-779-6700
Practice Address - Fax:617-779-6771
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2017-12-14
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Provider Licenses
StateLicense IDTaxonomies
MA157115207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0100170Medicaid
MA0100170Medicaid
H15404Medicare UPIN