Healthcare Provider Details
I. General information
NPI: 1982544078
Provider Name (Legal Business Name): SARAH BUONOPANE DC MSDI DACBR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8 EMILY LN
PEABODY MA
01960-1280
US
IV. Provider business mailing address
8 EMILY LN
PEABODY MA
01960-1280
US
V. Phone/Fax
- Phone: 978-239-6525
- Fax:
- Phone: 978-239-6525
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NR0200X |
| Taxonomy | Radiology Chiropractor |
| License Number | CHI5191 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: