Provider Demographics
NPI:1558358689
Name:SADOWSKY, MARC M (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:M
Last Name:SADOWSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:354 MERRIMACK ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-1754
Mailing Address - Country:US
Mailing Address - Phone:978-687-2321
Mailing Address - Fax:978-685-7265
Practice Address - Street 1:354 MERRIMACK ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-1754
Practice Address - Country:US
Practice Address - Phone:978-687-2321
Practice Address - Fax:978-685-7265
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH81762084P0800X, 2084P0805X
MA752262084P0805X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0106679Y0NH01OtherANTHEM
MAJ12074OtherBCBS
MA079478000OtherMAGELLAN FOR BCBSMA
MA101854OtherMAGELLAN BEHAVIORAL HEALT
MA1169401OtherFIRST HEALTH
MA99620OtherCIGNA BEHAVIORAL HEALTH
MA015769OtherVALUEOPTIONS FOR OPTIONS
MA15-90547OtherUNITED BEHAVIORAL HEALTH
NH30003553Medicaid
MA4274226OtherMAGELLAN FOR AETNA MBRS
MA68499OtherVALUE BEHAVIORAL HEALTH
MAS017593OtherCHAMPUS
MA000834OtherVALUEOPTIONS FOR HPHC
MA075226OtherTHP
NH30003553Medicaid
MA101854OtherMAGELLAN BEHAVIORAL HEALT