Healthcare Provider Details

I. General information

NPI: 1609915529
Provider Name (Legal Business Name): MONISHA SARIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 TROLLEY CROSSING RD
CHARLTON MA
01507-1351
US

IV. Provider business mailing address

PO BOX 415348
BOSTON MA
02241-5348
US

V. Phone/Fax

Practice location:
  • Phone: 774-475-0509
  • Fax: 774-475-0510
Mailing address:
  • Phone: 800-225-8885
  • Fax: 508-334-1977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number216635
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: