Provider Demographics
NPI:1639591829
Name:BREGLIO, SARA
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:BREGLIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:BREGLIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:585 LEBANON STREET
Mailing Address - Street 2:EMERGENCY DEPARTMENT, ATTN: SARA BREGLIO PA-C
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-5257
Mailing Address - Country:US
Mailing Address - Phone:781-979-3635
Mailing Address - Fax:781-979-3036
Practice Address - Street 1:585 LEBANON STREET
Practice Address - Street 2:EMERGENCY DEPARTMENT, ATTN: SARA BREGLIO PA-C
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-5257
Practice Address - Country:US
Practice Address - Phone:781-979-3635
Practice Address - Fax:781-979-3036
Is Sole Proprietor?:No
Enumeration Date:2014-01-08
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPA4886363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant