Provider Demographics
NPI:1689640674
Name:CRAIGO, SABRINA DARLENE (MD)
Entity Type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:DARLENE
Last Name:CRAIGO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9 PLATO TER
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-2231
Mailing Address - Country:US
Mailing Address - Phone:617-636-4625
Mailing Address - Fax:617-636-4202
Practice Address - Street 1:750 WASHINGTON ST
Practice Address - Street 2:BOX 360
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1526
Practice Address - Country:US
Practice Address - Phone:617-636-4625
Practice Address - Fax:617-636-4202
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA79626207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3111768Medicaid
MA3111768Medicaid
MAF61465Medicare UPIN