Provider Demographics
NPI:1245287903
Name:POPP, SABRINA M (MD)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:M
Last Name:POPP
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:59 TEMPLE PL
Mailing Address - Street 2:SUITE 223
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1307
Mailing Address - Country:US
Mailing Address - Phone:617-728-4800
Mailing Address - Fax:
Practice Address - Street 1:59 TEMPLE PL
Practice Address - Street 2:SUITE 223
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1307
Practice Address - Country:US
Practice Address - Phone:617-728-4800
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA737412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry