Provider Demographics
NPI:1538705421
Name:GILE, SARAH LOUISE
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:LOUISE
Last Name:GILE
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 1:129 BARTON RD
Mailing Address - Street 2:
Mailing Address - City:STOW
Mailing Address - State:MA
Mailing Address - Zip Code:01775-1529
Mailing Address - Country:US
Mailing Address - Phone:508-612-4960
Mailing Address - Fax:
Practice Address - Street 1:570 BALDWINVILLE RD
Practice Address - Street 2:
Practice Address - City:BALDWINVILLE
Practice Address - State:MA
Practice Address - Zip Code:01436-1351
Practice Address - Country:US
Practice Address - Phone:978-939-2133
Practice Address - Fax:978-939-8580
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-26
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPA7935363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant