Provider Demographics
NPI:1508010885
Name:HAIM, SARA ROSE (MD)
Entity Type:Individual
Prefix:
First Name:SARA ROSE
Middle Name:
Last Name:HAIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:44 WASHINGTON ST
Mailing Address - Street 2:APARTMENT 206
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7130
Mailing Address - Country:US
Mailing Address - Phone:973-986-5871
Mailing Address - Fax:
Practice Address - Street 1:1 BOSTON MEDICAL CTR PL
Practice Address - Street 2:DOWLING -3 SOUTH
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2908
Practice Address - Country:US
Practice Address - Phone:617-414-4521
Practice Address - Fax:617-414-4502
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2380772084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology