Healthcare Provider Details

I. General information

NPI: 1770681066
Provider Name (Legal Business Name): THOMAS SBARRA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 11/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 TER HEUN DR SUITE 300
FALMOUTH MA
02540-2533
US

IV. Provider business mailing address

90 TER HEUN DR SUITE 300
FALMOUTH MA
02540-2533
US

V. Phone/Fax

Practice location:
  • Phone: 508-540-0604
  • Fax: 508-457-0129
Mailing address:
  • Phone: 508-540-0604
  • Fax: 508-457-0129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number39813
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: