Provider Demographics
NPI:1952590663
Name:RICHARD F. SAWYER, JR, MD, PC
Entity Type:Organization
Organization Name:RICHARD F. SAWYER, JR, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:F
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:978-686-4400
Mailing Address - Street 1:25 MARSTON ST
Mailing Address - Street 2:SUITE 402
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01841-2310
Mailing Address - Country:US
Mailing Address - Phone:978-686-4400
Mailing Address - Fax:978-686-4401
Practice Address - Street 1:25 MARSTON ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01841-2310
Practice Address - Country:US
Practice Address - Phone:978-686-4400
Practice Address - Fax:978-686-4401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-18
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA79008207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MADN3764OtherRAIL ROAD MEDICARE
J14490Medicare PIN
F32360Medicare UPIN