MEDICARE: DR. VIRGINIA SABET

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	240642	MA
2	207R00000X	Internal Medicine Physician	DOO61265	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	56-2508917	OTHER	MD	TAX ID #

General Provider Information

NPI Number	:	1124156161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIRGINIA SABET

Provider Business Mailing Address
First Line	:	333 ELM ST STE 220
Second Line	:
City	:	DEDHAM
State	:	MA
Zip	:	02026-4530
Country	:	US
Telephone Number	:	781-329-7311
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 ELM ST STE 220
Second Line	:
City	:	DEDHAM
State	:	MA
Zip	:	02026-4530
Country	:	US
Telephone Number	:	781-329-7311
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	11/28/2023

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Directions to “ DR. VIRGINIA SABET ” Practice Location

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