Provider Demographics
NPI:1750548376
Name:BACIGALUPI, SHARON SARA (MPH, LICAC)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:SARA
Last Name:BACIGALUPI
Suffix:
Gender:
Credentials:MPH, LICAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 MANNING ST
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-3507
Mailing Address - Country:US
Mailing Address - Phone:617-959-5547
Mailing Address - Fax:
Practice Address - Street 1:1318 BEACON ST STE 10
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-3793
Practice Address - Country:US
Practice Address - Phone:617-274-8754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 12475171100000X
MA234359171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist