Provider Demographics
NPI:1265648745
Name:SAKAI, TOMOYA (MD)
Entity Type:Individual
Prefix:
First Name:TOMOYA
Middle Name:
Last Name:SAKAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 BRIDGE ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-1765
Mailing Address - Country:US
Mailing Address - Phone:781-326-8888
Mailing Address - Fax:781-326-6666
Practice Address - Street 1:80 BRIDGE ST
Practice Address - Street 2:SUITE 106
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-1765
Practice Address - Country:US
Practice Address - Phone:781-326-8888
Practice Address - Fax:781-326-6666
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA247112208100000X, 2081P2900X, 2081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine