Healthcare Provider Details

I. General information

NPI: 1649379579
Provider Name (Legal Business Name): KATHERINE SARAH SARAGOSA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CITY HALL PLZ
MELROSE MA
02176-3149
US

IV. Provider business mailing address

526 MAIN ST STE 302
ACTON MA
01720-3301
US

V. Phone/Fax

Practice location:
  • Phone: 781-662-8881
  • Fax: 781-662-8886
Mailing address:
  • Phone: 978-371-7010
  • Fax: 978-371-0522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA1306
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: