Provider Demographics
NPI:1972592418
Name:SINCLAIR, ANNA (MD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:SINCLAIR
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:PO BOX 843013
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02284-3013
Mailing Address - Country:US
Mailing Address - Phone:866-898-7138
Mailing Address - Fax:616-975-9827
Practice Address - Street 1:114 WHITWELL ST
Practice Address - Street 2:ATTN EMERGENCY DEPT
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-1870
Practice Address - Country:US
Practice Address - Phone:617-376-5549
Practice Address - Fax:617-376-5553
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA44838207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000005690OtherBMC HEALTHNET
MA438931OtherHPHC
MA733329OtherTUFTS
MAJ01018OtherBCBS
MA0188425Medicaid
MAAA101474OtherPILGRIM HEALTH
MA733329OtherTUFT
MA733329OtherTUFT
MA733329OtherTUFTS
B74094Medicare UPIN