Healthcare Provider Details

I. General information

NPI: 1912109034
Provider Name (Legal Business Name): GREGORY ALAN SAWYER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 06/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 BUCKNAM ROAD
FALMOUTH ME
04105
US

IV. Provider business mailing address

301C US ROUTE ONE
SCARBOROUGH ME
04074
US

V. Phone/Fax

Practice location:
  • Phone: 207-781-1551
  • Fax: 401-444-3609
Mailing address:
  • Phone: 207-396-8600
  • Fax: 207-396-8632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number13842
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD20163
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: