Provider Demographics
NPI:1346625985
Name:ROOT FAMILY MEDICINE PC
Entity Type:Organization
Organization Name:ROOT FAMILY MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-928-7668
Mailing Address - Street 1:3 EDGEWATER DR STE 102
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-4644
Mailing Address - Country:US
Mailing Address - Phone:508-928-7668
Mailing Address - Fax:781-352-2274
Practice Address - Street 1:3 EDGEWATER DR STE 102
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4644
Practice Address - Country:US
Practice Address - Phone:774-221-7697
Practice Address - Fax:781-352-2274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-24
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty