Provider Demographics
NPI:1740448596
Name:CHERKERZIAN, SARA (SM SCD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:
Last Name:CHERKERZIAN
Suffix:
Gender:F
Credentials:SM SCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 TREMONT AVENUE
Mailing Address - Street 2:OBC-3-034L
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02120-1613
Mailing Address - Country:US
Mailing Address - Phone:617-525-7583
Mailing Address - Fax:617-525-7746
Practice Address - Street 1:1620 TREMONT AVENUE
Practice Address - Street 2:OBC-3-034L
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02120-1613
Practice Address - Country:US
Practice Address - Phone:617-525-7583
Practice Address - Fax:617-525-7746
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist