Provider Demographics
NPI:1386679439
Name:SABOLSI, MARY CATHERINE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:CATHERINE
Last Name:SABOLSI
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
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Mailing Address - Street 1:40 2ND AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-1132
Mailing Address - Country:US
Mailing Address - Phone:781-487-4350
Mailing Address - Fax:781-487-4351
Practice Address - Street 1:40 2ND AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02451-1132
Practice Address - Country:US
Practice Address - Phone:781-487-4350
Practice Address - Fax:781-487-4351
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA202980207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0165921Medicaid
202980OtherTUFTS
65668OtherFALLON
AA45764OtherHARVARD PILGRIM
J24457OtherBLUE SHIELD
MA0165921Medicaid
H54070Medicare UPIN