Provider Demographics
NPI:1558512806
Name:SAGOR, JOSHUA SAMUEL (BA)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:SAMUEL
Last Name:SAGOR
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 TOWER ST
Mailing Address - Street 2:APT 811
Mailing Address - City:HUDSON
Mailing Address - State:MA
Mailing Address - Zip Code:01749-1700
Mailing Address - Country:US
Mailing Address - Phone:617-417-9248
Mailing Address - Fax:
Practice Address - Street 1:100 TOWER ST
Practice Address - Street 2:APT 811
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-1700
Practice Address - Country:US
Practice Address - Phone:617-417-9248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-06
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health