Provider Demographics
NPI:1992368997
Name:PURPLE CRAYON PEDIATRICS PC
Entity Type:Organization
Organization Name:PURPLE CRAYON PEDIATRICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:B
Authorized Official - Last Name:SHELDON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-312-8436
Mailing Address - Street 1:22 MILL ST STE 206
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-4738
Mailing Address - Country:US
Mailing Address - Phone:781-867-9220
Mailing Address - Fax:781-530-4440
Practice Address - Street 1:22 MILL ST STE 206
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-4738
Practice Address - Country:US
Practice Address - Phone:781-867-9220
Practice Address - Fax:781-530-4440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-16
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty