Healthcare Provider Details

I. General information

NPI: 1962818757
Provider Name (Legal Business Name): CYNTIA A SAENZ SAENZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2014
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 INDEPENDENCE DR
CHESTNUT HILL MA
02467-3628
US

IV. Provider business mailing address

291 INDEPENDENCE DR
CHESTNUT HILL MA
02467-3628
US

V. Phone/Fax

Practice location:
  • Phone: 617-657-6435
  • Fax: 617-541-7511
Mailing address:
  • Phone: 617-657-6435
  • Fax: 617-541-7511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number291301
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: