Provider Demographics
NPI:1346505120
Name:GIROUARD, SASHA DANIELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:SASHA
Middle Name:DANIELLE
Last Name:GIROUARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SASHA
Other - Middle Name:DANIELLE
Other - Last Name:MAZZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:134 ANSEL HALLET RD
Mailing Address - Street 2:
Mailing Address - City:W YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02673-2582
Mailing Address - Country:US
Mailing Address - Phone:508-771-9779
Mailing Address - Fax:508-771-4355
Practice Address - Street 1:134 ANSEL HALLET RD
Practice Address - Street 2:
Practice Address - City:W YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02673-2582
Practice Address - Country:US
Practice Address - Phone:508-771-9779
Practice Address - Fax:508-771-4355
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA265797207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology