Provider Demographics
NPI:1366432973
Name:DURFEE, SARA M (MD)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:M
Last Name:DURFEE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:75 FRANCIS ST
Mailing Address - Street 2:BRIGHAM & WOMEN'S HOSPITAL, RADIOLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6110
Mailing Address - Country:US
Mailing Address - Phone:617-732-6280
Mailing Address - Fax:617-525-7333
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:BRIGHAM & WOMEN'S HOSPITAL, RADIOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-732-6280
Practice Address - Fax:617-525-7333
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2012-08-09
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Provider Licenses
StateLicense IDTaxonomies
MA808292085R0202X, 2085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA080829OtherTUFTS
MA3152481Medicaid
MAJ23001OtherBLUE CROSS/BLUE SHIELD
G25584Medicare UPIN
MA3152481Medicaid