MEDICARE: SARAH FOX MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MD09899	RI

General Provider Information

NPI Number	:	1750311528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH FOX MD

Provider Business Mailing Address
First Line	:	117 ELLENFIELD ST STE 101
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02905-4513
Country	:	US
Telephone Number	:	401-444-6779
Fax Number	:	401-444-6912

Provider Business Practice Location Address
First Line	:	148 WEST RIVER STREET SUITE 8
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02904-2615
Country	:	US
Telephone Number	:	401-606-3000
Fax Number	:	401-331-8110

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	12/26/2019

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