Provider Demographics
NPI:1497226690
Name:NORTHEAST VASECTOMY AND FAMILY PLANNING PLLC
Entity Type:Organization
Organization Name:NORTHEAST VASECTOMY AND FAMILY PLANNING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:BOZOGAN
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-362-8512
Mailing Address - Street 1:PO BOX 1120
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-0009
Mailing Address - Country:US
Mailing Address - Phone:917-362-8512
Mailing Address - Fax:
Practice Address - Street 1:111 HARVARD ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-6427
Practice Address - Country:US
Practice Address - Phone:617-368-0090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty