Provider Demographics
NPI:1518732387
Name:MURTAGH, SARA
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:MURTAGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 NOTTINGHAM WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02071-1045
Mailing Address - Country:US
Mailing Address - Phone:508-505-6029
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-732-5500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2324585163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine