Provider Demographics
NPI:1528002631
Name:HAAS, SABRINA RENEA (MD)
Entity Type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:RENEA
Last Name:HAAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 HERRICK ST
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-1790
Mailing Address - Country:US
Mailing Address - Phone:978-356-5524
Mailing Address - Fax:978-356-5548
Practice Address - Street 1:85 HERRICK ST
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1790
Practice Address - Country:US
Practice Address - Phone:978-356-5524
Practice Address - Fax:978-356-5548
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY228304207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0105XAMedicare ID - Type UnspecifiedGHI
NY368AK1Medicare ID - Type UnspecifiedEMPIRE
H64206Medicare UPIN