Healthcare Provider Details

I. General information

NPI: 1861009334
Provider Name (Legal Business Name): SARAH E. SIMPSON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH E. SMITH

II. Dates (important events)

Enumeration Date: 09/28/2020
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

736 CAMBRIDGE ST
BOSTON MA
02135-2907
US

IV. Provider business mailing address

10 HAMPSHIRE HILLS DR
BOW NH
03304-4920
US

V. Phone/Fax

Practice location:
  • Phone: 617-562-7050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: