Provider Demographics
NPI:1598709644
Name:SAWITZ, ERIC H (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:H
Last Name:SAWITZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:147 MILK ST
Mailing Address - Street 2:PROVIDER ENROLLMENT - 9TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-4806
Mailing Address - Country:US
Mailing Address - Phone:617-559-8374
Mailing Address - Fax:617-421-3487
Practice Address - Street 1:111 GROSSMAN DR
Practice Address - Street 2:INTERNAL MEDICINE
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-4997
Practice Address - Country:US
Practice Address - Phone:781-849-1000
Practice Address - Fax:781-849-2381
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2011-05-16
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Provider Licenses
StateLicense IDTaxonomies
MA54569207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA054569OtherTUFTS
MAJ04497OtherBLUE CROSS
MA0014953OtherNIEGHBORHOOD HEALTH
MA3000788Medicaid
MAM547OtherHARVARD PILGRIM
MA0014953OtherNIEGHBORHOOD HEALTH
MAA31518Medicare PIN