Provider Demographics
NPI:1326682873
Name:SAJ CONSULTATION LLC
Entity Type:Organization
Organization Name:SAJ CONSULTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:JEWETT
Authorized Official - Suffix:
Authorized Official - Credentials:MSW,LICSW
Authorized Official - Phone:617-852-7615
Mailing Address - Street 1:12 GILSON AVE
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-1815
Mailing Address - Country:US
Mailing Address - Phone:617-852-7615
Mailing Address - Fax:617-812-5894
Practice Address - Street 1:552 MASSACHUSETTS AVE STE 202
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-4088
Practice Address - Country:US
Practice Address - Phone:617-852-7615
Practice Address - Fax:617-812-5894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center