Provider Demographics
NPI:1235181231
Name:SHRETER, SARAH (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:SHRETER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:SHRETER-LABINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1738 GAR HIGHWAY
Mailing Address - Street 2:MOUNT HOPE MEDICAL CENTER, INC.
Mailing Address - City:SWANSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02777-3906
Mailing Address - Country:US
Mailing Address - Phone:508-379-0012
Mailing Address - Fax:508-379-0777
Practice Address - Street 1:1738 GAR HIGHWAY
Practice Address - Street 2:MOUNT HOPE MEDICAL CENTER, INC.
Practice Address - City:SWANSEA
Practice Address - State:MA
Practice Address - Zip Code:02777-3906
Practice Address - Country:US
Practice Address - Phone:508-379-0012
Practice Address - Fax:508-379-0777
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2010-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA158771207R00000X
MA158771207R00000X
RIMD10023207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9738100Medicaid
MA9738100Medicaid
MAA31859Medicare PIN
MASHA31859Medicare ID - Type Unspecified