Provider Demographics
NPI:1568826782
Name:PAYNE, SARA (MED)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:PAYNE
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 ARBOR RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-2001
Mailing Address - Country:US
Mailing Address - Phone:978-427-0586
Mailing Address - Fax:
Practice Address - Street 1:28 ARBOR RD
Practice Address - Street 2:
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-2001
Practice Address - Country:US
Practice Address - Phone:978-427-0586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-13
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program