Provider Demographics
NPI:1396901914
Name:ZACHRISON, KORILYN SAUSER (MD, MSC)
Entity type:Individual
Prefix:DR
First Name:KORILYN
Middle Name:SAUSER
Last Name:ZACHRISON
Suffix:
Gender:F
Credentials:MD, MSC
Other - Prefix:
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Mailing Address - Street 1:55 FRUIT ST
Mailing Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2621
Mailing Address - Country:US
Mailing Address - Phone:617-426-6636
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-426-6636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-03
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125054086207P00000X
MI4301100223207P00000X
MA258693207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine