Provider Demographics
NPI:1659381903
Name:MCSWEENEY-RYAN, SARAH ANN (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:MCSWEENEY-RYAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 TOTMAN STREET
Mailing Address - Street 2:#2
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169
Mailing Address - Country:US
Mailing Address - Phone:617-745-0050
Mailing Address - Fax:617-745-0052
Practice Address - Street 1:21 TOTMAN STREET
Practice Address - Street 2:#2
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169
Practice Address - Country:US
Practice Address - Phone:617-745-0050
Practice Address - Fax:617-745-0052
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2220932080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine