Provider Demographics
NPI:1841904562
Name:SANGSTAR, ROXANNE R
Entity type:Individual
Prefix:
First Name:ROXANNE
Middle Name:R
Last Name:SANGSTAR
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 320637
Mailing Address - Street 2:
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132-0011
Mailing Address - Country:US
Mailing Address - Phone:617-863-8882
Mailing Address - Fax:
Practice Address - Street 1:1555 VFW PKWY UNIT 426
Practice Address - Street 2:
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132-5580
Practice Address - Country:US
Practice Address - Phone:617-750-8382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health