Healthcare Provider Details

I. General information

NPI: 1992368997
Provider Name (Legal Business Name): PURPLE CRAYON PEDIATRICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2019
Last Update Date: 07/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 MILL ST STE 206
ARLINGTON MA
02476-4738
US

IV. Provider business mailing address

22 MILL ST STE 206
ARLINGTON MA
02476-4738
US

V. Phone/Fax

Practice location:
  • Phone: 781-867-9220
  • Fax: 781-530-4440
Mailing address:
  • Phone: 781-867-9220
  • Fax: 781-530-4440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SARAH B. SHELDON
Title or Position: PHYSICIAN/ OWNER
Credential: MD
Phone: 781-312-8436