Provider Demographics
NPI:1013961564
Name:KANE, SARAH E (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:E
Last Name:KANE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:81 HIGHLAND AVE
Mailing Address - Street 2:DEPARTMENT OF PATHOLOGY
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-2714
Mailing Address - Country:US
Mailing Address - Phone:978-354-4101
Mailing Address - Fax:978-740-4752
Practice Address - Street 1:81 HIGHLAND AVE
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2714
Practice Address - Country:US
Practice Address - Phone:978-354-4101
Practice Address - Fax:978-740-4752
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA224160207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2102161Medicaid
MAJ28692OtherBCBS MA
MA468291OtherTUFTS HEALTH PLAN
MAA38542Medicare ID - Type Unspecified
MAJ28692OtherBCBS MA